Individual provider Active NPI

Robert Warren Feldtman, M.D.

  • Vascular Surgery Physician
  • Dallas, TX
National Provider Identifier
1851350227
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
E9498 Issued in TX
Practice address
221 W. Colorado Suite 625
DFW Vascular LLP
Dallas, TX 75208
Phone
(214) 946-5165
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X E9498 TX Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E9498 TX

Addresses

Primary practice location

221 W. Colorado Suite 625
DFW Vascular LLP
Dallas, TX 75208

Mailing address

221 W. Colorado Suite 625
DFW Vascular LLP
Dallas, TX 75208
Phone (214) 946-5165

Other identifiers 4

IdentifierTypeStateIssuer
1313835-08OtherTXCSHCN
P00105588OtherTXRR/MEDICARE
1313835-07MedicaidTX
8J9878OtherTXBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miller-Franklin Limited Liability Partnership PastSince Mar 23, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1851350227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO SUITE 625",
            "address_2": "DFW VASCULAR LLP",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "214-946-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO SUITE 625",
            "address_2": "DFW VASCULAR LLP",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "214-946-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDTMAN",
        "first_name": "ROBERT",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "E9498",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "E9498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "1313835-08",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "P00105588",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1313835-07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8J9878",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.