Individual provider Active NPI

Gary M Vollenweider, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1659379592
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0909 Issued in TX
Practice address
1283 Record Crossing Rd
Dallas, TX 75235-6001
Phone
(214) 941-1050
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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 H0909 TX Primary

Addresses

Primary practice location

1283 Record Crossing Rd
Dallas, TX 75235-6001

Mailing address

1283 Record Crossing Rd
Dallas, TX 75235-6001
Phone (214) 941-1050

Other practice location 1

6053 Main St
Suite 130
The Colony, TX 75056-2062
Phone (972) 625-7000

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
I20070709000207 TX Practitioner - Family Practice 0648370502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Native HealthGroup PAC ID 6002908837, 2 clinicians

Practice addresses (Care Compare)

1283 Record Crossing Rd
Dallas, TX 75235-6001
Phone (214) 941-1050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0909TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Native Health CurrentSince Nov 2, 2022 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

1283 Record Crossing Rd
Dallas, TX 75235
Phone (214) 941-1050

1261 Record Crossing Rd
Dallas, TX 75235
Phone (214) 688-0078

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/cdf42bb0-51f6-4504-b5a7-cccb830ef48f/

Organizations & group practices 2

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1659379592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356001",
            "telephone_number": "214-941-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356001",
            "telephone_number": "214-941-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6053 Main St",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750562062",
            "country_code": "US",
            "telephone_number": "972-625-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLLENWEIDER",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.