Individual provider Active NPI

Valery Peinado Reyes, PA-C

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1780128587
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA11060 Issued in TX
Practice address
3600 Gaston Ave Ste 502
Dallas, TX 75246-1805
Phone
(469) 800-7700
Fax
(469) 800-7710
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X TX
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA11060 TX Primary

Addresses

Primary practice location

3600 Gaston Ave Ste 502
Dallas, TX 75246-1805

Mailing address

3600 Gaston Ave Ste 502
Dallas, TX 75246-1805
Phone (469) 800-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vpeinadoreyes1535954@Direct.TexasHealth.org Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411001640 TX Practitioner - Physician Assistant 5092091843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

3600 Gaston Ave
Suite 502
Dallas, TX 75246-1805
Phone (469) 800-7700

3900 Junius St
Dallas, TX 75246-1627

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11060TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Single Specialty CurrentSince Jun 12, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 3, 2017 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 3, 2017 Accepting new patients
Healthtexas Provider Network Single Specialty CurrentSince Jun 12, 2023 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3600 Gaston Ave
Ste 502
Dallas, TX 75246
Phone (214) 823-2692

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

6301 Harris Pkwy
Ste 200
Fort Worth, TX 76132
Phone (817) 433-3450

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: vpeinadoreyes1535954@direct.texashealth.org
  • Direct secure messaging: vpeinadoreyes1187958@direct.sw.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1780128587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 502",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461805",
            "telephone_number": "469-800-7700",
            "fax_number": "469-800-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 502",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461805",
            "telephone_number": "469-800-7700",
            "fax_number": "469-800-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEINADO REYES",
        "first_name": "VALERY",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2023-07-07",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA11060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpeinadoreyes1535954@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6301 Harry Pkwy Suite 200",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.