Vitas Health Services of Texas, P.a.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

VITAS HEALTH SERVICES OF TEXAS, P.A.

Doing business as

Palliative Medical Associates of Texas

Practice address

Crown Sterling Building
14651 North Dallas Parkway, Suite 811
Dallas, TX 75254-7476

Phone

(877) 868-4827

NPI assigned

Oct 31, 2011

Last updated

Apr 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Westfall

Title

Ceo

Phone

(513) 618-2230

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Palliative Medical Associates of Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, IL2 enrollments

Enrollment records 2

Locations

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quaneisha Fortson, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1144906843
  Medicare reassignment Care Compare group NPD
• Valentina Leyva-Aquende, APN

  • Adult Health Nurse Practitioner
  • Lombard, IL
  • NPI 1336438555
  Medicare reassignment Care Compare group NPD
• Anna Zofia Peek, FNP

  • Nurse Practitioner
  • Peru, IL
  • NPI 1467920330
  Medicare reassignment Care Compare group NPD
• Brittany Pinkney, NP

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1538864459
  Medicare reassignment Care Compare group NPD
• Elizabeth Alexandra Carroll, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1215297403
  Medicare reassignment NPD
• Ralph Frederick Cox Jr., M.D.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1922071703
  Medicare reassignment NPD
• Brandon Allen Gauthier

  • Critical Care Medicine Nurse Practitioner
  • San Antonio, TX
  • NPI 1265089692
  Medicare reassignment NPD
• Lydia Gikere, ANP

  • Adult Health Nurse Practitioner
  • Richardson, TX
  • NPI 1780982801
  Medicare reassignment NPD
• Titilola Fadahunsi Glass, M.D.

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Frisco, TX
  • NPI 1326250861
  Medicare reassignment NPD
• Jenice Godley, MSN, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1245191790
  Medicare reassignment NPD
• Heather Grayson, AGNP

  • Adult Health Nurse Practitioner
  • Azle, TX
  • NPI 1750879649
  Medicare reassignment NPD
• Shilloy Christine Hart, APRN, FNP-BC

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1184085714
  Medicare reassignment NPD

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1740566017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 NORTH DALLAS PARKWAY",
            "address_2": "SUITE 811",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547476",
            "telephone_number": "877-868-4827",
            "fax_number": "877-283-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CROWN STERLING BUILDING",
            "address_2": "14651 NORTH DALLAS PARKWAY, SUITE 811",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547476",
            "telephone_number": "877-868-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8525 183rd St Ste M",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604873702",
            "country_code": "US",
            "telephone_number": "708-781-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAS HEALTH SERVICES OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-618-2230"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3344004-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Medical Associates of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palliative Medical Associates of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vitas Healthcare of Texas, L. P. (Dallas Palliative Care)
• Vitas Healthcare of Texas, LP
• Russell Lowell Vittrup III, PA-C
• Viva Dental 2 PLLC (Viva Dental)
• Viva Dental, PA

• Hospice and Palliative Medicine (Internal Medicine) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.