Individual provider Active NPI

Juan C Machannaford, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dallas, TX
National Provider Identifier
1902094246
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
P8154 Issued in TX
Practice address
11970 N Central Expy Ste 510
Dallas, TX 75243-3961
Phone
(214) 575-5885
Fax
(907) 782-4662
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X P8154 TX Primary

Addresses

Primary practice location

11970 N Central Expy Ste 510
Dallas, TX 75243-3961

Mailing address

11970 N Central Expy Ste 510
Dallas, TX 75243-3961
Phone (214) 575-5885

Other identifiers 5

IdentifierTypeStateIssuer
P00738774OtherKYRAILROAD MEDICARE
2769820MedicaidOH
3810007725MedicaidWV
7100080460MedicaidKY
P8154OtherTXTEXAS MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JUAN.MACHANNAFORD@hca7.eclinicaldirectplus.com

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
I20140220001632 TX Practitioner - Thoracic Surgery 1456448331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Heart Surgery Center, PLLCGroup PAC ID 6901081363, 22 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P8154TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 6, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 6, 2014 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
North Texas Heart Surgery Center, PLLC CurrentSince Apr 30, 2019 Accepting new patients
Cardiology Specialists of North Texas, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

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

7777 Forest Ln
Ste A307
Dallas, TX 75230
Phone (972) 566-4866

11970 N Central Expy
Ste 510
Dallas, TX 75243
Phone (214) 575-5885

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

11970 N Central Expy
Ste 210
Dallas, TX 75243
Phone (214) 575-5885

3900 Junius St
Ste 415
Dallas, TX 75246
Phone (214) 820-7100

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Organizations & group practices 5

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 2

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1902094246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433961",
            "telephone_number": "214-575-5885",
            "fax_number": "907-782-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433961",
            "telephone_number": "214-575-5885",
            "fax_number": "907-782-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHANNAFORD",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2024-02-19",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "P8154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00738774",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769820",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007725",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100080460",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "P8154",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JUAN.MACHANNAFORD@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7777 Forest Ln Ste A307",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752302533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.