Individual provider Active NPI

Marvin F Fojtasek, MD

  • Infectious Disease Physician
  • Addison, TX
National Provider Identifier
1669475737
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
F9429 Issued in TX
Practice address
15301 Spectrum Dr Ste 330
Addison, TX 75001-6462
Phone
(972) 661-2273
NPI assigned
May 23, 2005
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X F9429 TX Primary

Addresses

Primary practice location

15301 Spectrum Dr Ste 330
Addison, TX 75001-6462

Mailing address

15301 Spectrum Dr Ste 330
Addison, TX 75001-6462
Phone (972) 661-2273

Other practice location 1

106 Plaza Dr
Red Oak, TX 75154-3981
Phone (972) 661-2273

Other identifiers 2

IdentifierTypeStateIssuer
F9429OtherTXSTATE MEDICAL LICENSE NUMBER
120475212MedicaidTX

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
I20070222000050 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 1456453455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attigo Infusion IncGroup PAC ID 5597190645, 20 clinicians

Practice addresses (Care Compare)

1001 Legacy Ranch Rd
Waxahachie, TX 75165-1294
Phone (866) 696-3349

1003 Legacy Ranch Rd
Waxahachie, TX 75165-1294
Phone (972) 661-2273

106 Plaza Dr
Red Oak, TX 75154-3981
Phone (833) 696-3349

2800 Shoreline Dr
Denton, TX 76210-0128
Phone (972) 661-2273

3025 Matlock Rd
Arlington, TX 76015-2902
Phone (833) 696-3349

3101 Churchill Dr
Suite 210
Flower Mound, TX 75022-2716
Phone (833) 696-3349

325 E Sonterra Blvd
120 Medix Infusion
San Antonio, TX 78258-4055
Phone (972) 611-2273

3300 N a St
BLDG 5 210 Medix Infusion
Midland, TX 79705-5457
Phone (972) 661-2273

500 W Whitestone Blvd
275 Medix Infusion
Cedar Park, TX 78613-2341
Phone (833) 696-3349

5706 Old Rowlett Rd
100 Medix Infusion
Rowlett, TX 75089-1624
Phone (972) 661-2273

6010 E Hwy 191
130 Medix Infusion
Odessa, TX 79762-5410
Phone (972) 661-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Attigo Infusion Inc Infectious Disease CurrentSince Jan 1, 2020 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Americare Medical Group, Inc. Infectious Disease Past Accepting new patients
Cwida, Inc Past Accepting new patients
Citywide I D Associates, Inc Past Accepting new patients

Locations (25 of 35)

15301 Spectrum Dr
Ste 330
Addison, TX 75001
Phone (806) 239-5716

1001 W Arbrook Blvd
Ste 161
Arlington, TX 76015
Phone (817) 402-0952

3025 Matlock Rd
Ste 105
Arlington, TX 76015

500 W Whitestone Blvd
Ste 275
Cedar Park, TX 78613

1521 S Staples St
Ste 405
Corpus Christi, TX 78404
Phone (541) 388-3978

5802 Saratoga Blvd
Ste 350
Corpus Christi, TX 78414

2800 Shoreline Dr
Ste 270
Denton, TX 76210

3101 Churchill Dr
Ste 210
Flower Mound, TX 75022
Phone (972) 874-8188

4100 Heritage Trace Pkwy
Ste 116
Fort Worth, TX 76244
Phone (817) 491-0223

7100 Oakmont Blvd
Ste 105
Fort Worth, TX 76132
Phone (817) 263-6660

350 Kingwood Medical Dr
Ste 240
Kingwood, TX 77339
Phone (541) 388-3978

2790 Lake Vista Dr
Lewisville, TX 75067
Phone (972) 221-0147

2790 Lake Vista Dr
Ste 500
Lewisville, TX 75067
Phone (972) 239-3849

751 Hebron Pkwy
Ste 330
Lewisville, TX 75057
Phone (214) 488-9300

7300 Eldorado Pkwy
Ste 240
McKinney, TX 75070

3300 N A St
Bldg 5
Midland, TX 79705
Phone (432) 400-3401

4351 Booth Calloway Rd
Ste 201
North Richlnd Hls, TX 76180
Phone (469) 606-0010

6010 E Highway 191
Ste 130
Odessa, TX 79762
Phone (432) 363-2700

4500 E Sam Houston Pkwy S
Ste 235
Pasadena, TX 77505

1601 E Pflugerville Pkwy
Ste 3304
Pflugerville, TX 78660

4888 Dexter Dr
Ste 400
Plano, TX 75093

106 Plaza Dr
Red Oak, TX 75154
Phone (469) 552-6630

16000 Park Valley Dr
Ste 150
Round Rock, TX 78681
Phone (512) 828-3220

5706 Rowlett Rd
Ste 100
Rowlett, TX 75089
Phone (469) 363-7839

325 E Sonterra Blvd
Ste 120
San Antonio, TX 78258
Phone (210) 490-1342

Organizations & group practices 5

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1669475737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 SPECTRUM DR STE 330",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016462",
            "telephone_number": "972-661-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 SPECTRUM DR STE 330",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016462",
            "telephone_number": "972-661-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751543981",
            "country_code": "US",
            "telephone_number": "972-661-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOJTASEK",
        "first_name": "MARVIN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "F9429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "F9429",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120475212",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.