Individual provider Active NPI

Richard A Page, M.D.

  • Allergy & Immunology Physician
  • Garland, TX
National Provider Identifier
1649279670
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
K4977 Issued in TX
Practice address
2380 Firewheel Pkwy
Ste. 1100
Garland, TX 75040-4004
Phone
(972) 271-6811
Fax
(972) 278-6589
NPI assigned
Jul 20, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X K4977 TX Primary

Addresses

Primary practice location

2380 Firewheel Pkwy
Ste. 1100
Garland, TX 75040-4004

Mailing address

2380 Firewheel Pkwy
Ste. 1100
Garland, TX 75040-4004
Phone (972) 271-6811

Other identifiers 2

IdentifierTypeStateIssuer
0298382-01MedicaidTX
0041CLOtherTXBC/BS OF TEXAS PROVIDER

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
I20041020000307 TX Practitioner - Allergy/Immunology 5698736049 Practice locations: Garland, TX; McKinney, TX

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
St. Louis College of Physicians and Surgeons, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2380 Firewheel Pkwy
Suite 1100
Garland, TX 75040-4090
Phone (972) 271-6811

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Page Allergy & Immunology PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFCAA/Endpoint/HHFCAA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1649279670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 FIREWHEEL PKWY",
            "address_2": "STE. 1100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404004",
            "telephone_number": "972-271-6811",
            "fax_number": "972-278-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 FIREWHEEL PKWY",
            "address_2": "STE. 1100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404004",
            "telephone_number": "972-271-6811",
            "fax_number": "972-278-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-01-30",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "K4977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0298382-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS PROVIDER",
            "identifier": "0041CL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.