Individual provider Active NPI

James Yarmchuk, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1467475582
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J3396 Issued in TX
Practice address
2922 Martin Luther King Jr Blvd
B
Dallas, TX 75215
Phone
(214) 426-3645
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J3396 TX Primary

Addresses

Primary practice location

2922 Martin Luther King Jr Blvd
B
Dallas, TX 75215

Mailing address

2922 Martin Luther King Jr Blvd
B
Dallas, TX 75215-2321
Phone (214) 426-3645

Other identifiers 3

IdentifierTypeStateIssuer
047135102MedicaidTX
P00919158OtherTXRAILROAD MEDICARE
8CM688OtherTXBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000662 TX Practitioner - Family Practice 3375575970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis County Coalition for Health Options CurrentSince Feb 16, 2016 Accepting new patients
Ellis County Coalition for Health Options CurrentSince Feb 16, 2016 Accepting new patients
Dallas County Mental Health & Mental Retardation Center Past Accepting new patients

Locations

805 W Lampasas St
Ennis, TX 75119
Phone (972) 875-9494

572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440

411 E Jefferson St
Waxahachie, TX 75165
Phone (972) 923-2440

Interoperability endpoints

  • Direct secure messaging: james.yarmchuk.p1@direct.hopehealthtx.nextgenshare.com
  • Direct secure messaging: james.yarmchuk.1@12251.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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1467475582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 MARTIN LUTHER KING JR BLVD",
            "address_2": "B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152321",
            "telephone_number": "214-426-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 MARTIN LUTHER KING JR BLVD",
            "address_2": "B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75215",
            "telephone_number": "214-426-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARMCHUK",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047135102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00919158",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CM688",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.