Individual provider Active NPI

Grace C Vanesko, M.D.

  • Gastroenterology Physician
  • Plano, TX
National Provider Identifier
1871579169
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J2395 Issued in TX
Practice address
3032 Communications Pkwy
Plano, TX 75093-8913
Phone
(972) 943-8440
Fax
(972) 618-3623
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X J2395 TX Primary

Addresses

Primary practice location

3032 Communications Pkwy
Plano, TX 75093-8913

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213

Other identifiers 2

IdentifierTypeStateIssuer
118020001MedicaidTX
82W276OtherTXBCBS

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
I20100507000077 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 8527002302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Nov 1, 1992 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Nov 1, 1992 Accepting new patients

Locations

5939 Harry Hines Blvd
Ste 700
Dallas, TX 75235
Phone (214) 645-1919

701 Tuscan Dr
Ste 110
Irving, TX 75039
Phone (214) 496-1100

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

3032 Communications Pkwy
Plano, TX 75093
Phone (972) 943-8440

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1871579169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2213",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938913",
            "telephone_number": "972-943-8440",
            "fax_number": "972-618-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANESKO",
        "first_name": "GRACE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J2395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118020001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82W276",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.