Individual provider Active NPI

Regan W Polone, P.A.

  • Physician Assistant
  • Abilene, TX
National Provider Identifier
1376588194
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01516 Issued in TX
Practice address
1665 Antilley Rd
Suite 200
Abilene, TX 79606-5265
Phone
(325) 793-5130
Fax
(325) 793-5133
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01516 TX Primary

Addresses

Primary practice location

1665 Antilley Rd
Suite 200
Abilene, TX 79606-5265

Mailing address

PO Box 5409
Abilene, TX 79608-5409
Phone (325) 793-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040605000135 TX Practitioner - Physician Assistant 2769464445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1665 Antilley Rd
Abilene, TX 79606-5249

1665 Antilley Rd
Abilene, TX 79606-5264

1665 Antilley Rd
Abilene, TX 79606-5265
Phone (855) 850-0638

1665 Antilley Rd
Abilene, TX 79606-5271

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

6401 Directors Pkwy
Abilene, TX 79606-5881
Phone (325) 691-1600

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Vitalcaring Group Home health agency, Ft Worth, TX, CCN 677132
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01516TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Jul 5, 2006 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1665 Antilley Rd
Ste 120
Abilene, TX 79606
Phone (325) 695-6011

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

1665 Antilley Rd
Abilene, TX 79606
Phone (325) 691-9092

Interoperability endpoints

  • Direct secure messaging: regan.polone.1@23308.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1376588194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5409",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085409",
            "telephone_number": "325-793-5130",
            "fax_number": "325-793-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ANTILLEY RD",
            "address_2": "SUITE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065265",
            "telephone_number": "325-793-5130",
            "fax_number": "325-793-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONE",
        "first_name": "REGAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.