Active NPI
Hasmin Banzuelo
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17515
- Practice address
- 5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200 - Phone
- (214) 648-1701
- NPI assigned
- Nov 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA17515 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200
Mailing address
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240429002856 | TX | Practitioner - Physician Assistant | 0648610378 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Neuro Spine Institute, PAHealthtexas Provider Network
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 393-5007
17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (214) 393-5007
3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100
4001 Worth St
Dallas, TX 75246-1608
Hospital & facility affiliations
- Methodist Dallas Medical Center
- Baylor University Medical Center
- Methodist Hospital for Surgery
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Neuro Spine Institute, PA | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033
1411 N Beckley Ave
Ste 474
Dallas, TX 75203
Phone (214) 377-1753
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDBGCA/Endpoint/DDBGCA
- https://fhir4.healow.com/fhir/r4/DDBGCA
- hbanzuelo1178696@direct.sw.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
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": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1548033947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD STOP 7200",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD STOP 7200",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907200",
"telephone_number": "214-648-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANZUELO",
"first_name": "HASMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-07",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.