Individual provider Active NPI

Anthony Alexis Vallarino, DO

  • Family Medicine Physician
  • Melissa, TX
National Provider Identifier
1497963698
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5557 Issued in TX
Practice address
3080 Sam Rayburn Highway
Melissa, TX 75454
Phone
(469) 796-4125
Fax
(469) 796-4124
NPI assigned
May 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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 M5557 TX Primary

Addresses

Primary practice location

3080 Sam Rayburn Highway
Melissa, TX 75454

Mailing address

3080 Sam Rayburn Highway
Melissa, TX 75454
Phone (469) 796-4125

Other identifiers 1

IdentifierTypeStateIssuer
204288901MedicaidTX

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
I20080918000063 TX Practitioner - Family Practice 5890862775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1105 Central Expy N
Suite 100
Allen, TX 75013-6105
Phone (972) 747-6126

Hospital & facility affiliations

  • Centric Home Health Home health agency, Sherman, TX, CCN 679721
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Apr 19, 2025 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Apr 19, 2025 Accepting new patients

Locations

1105 Central Expy N
Ste 100
Allen, TX 75013
Phone (469) 796-4125

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3080 Sam Rayburn Hwy
Melissa, TX 75454
Phone (469) 796-4125

Interoperability endpoints

  • Direct secure messaging: avallarino363267@direct.texashealth.org

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": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1497963698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 SAM RAYBURN HIGHWAY",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "75454",
            "telephone_number": "469-796-4125",
            "fax_number": "469-796-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 SAM RAYBURN HIGHWAY",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "75454",
            "telephone_number": "469-796-4125",
            "fax_number": "469-796-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLARINO",
        "first_name": "ANTHONY",
        "middle_name": "ALEXIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204288901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

Verify at the official NPI Registry.