Individual provider Active NPI

Theresa D Stretch, M.D.

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1710218169
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP20027635 Issued in TX
Practice address
1806 W Pleasant Ridge Rd
Arlington, TX 76015-4530
Phone
(817) 635-6363
Fax
(817) 635-6362
NPI assigned
Jan 25, 2010
Last updated
May 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP20027635 TX Primary

Addresses

Primary practice location

1806 W Pleasant Ridge Rd
Arlington, TX 76015-4530

Mailing address

1806 W Pleasant Ridge Rd
Arlington, TX 76015-4530
Phone (817) 635-6363

Other identifiers 1

IdentifierTypeStateIssuer
8CQ845OtherTXBCBS

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
I20110124000569 TX Practitioner - Internal Medicine 4385823301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1806 W Pleasant Ridge Rd
Arlington, TX 76015-4530
Phone (817) 635-6363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP20027635TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa D. Stretch MD, PA Internal Medicine CurrentSince Dec 29, 2010 Accepting new patients

Locations

1806 W Pleasant Ridge Rd
Arlington, TX 76015
Phone (817) 635-6363

Interoperability endpoints

  • Direct secure messaging: theresa.stretch@prim.eclinicaldirectplus.com

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.

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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1710218169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 W PLEASANT RIDGE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154530",
            "telephone_number": "817-635-6363",
            "fax_number": "817-635-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 W PLEASANT RIDGE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154530",
            "telephone_number": "817-635-6363",
            "fax_number": "817-635-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRETCH",
        "first_name": "THERESA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP20027635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CQ845",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.