Beata Walenda, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J9426 Issued in TX

Practice address

2379 Gus Thomasson Rd
Suite 300
Mesquite, TX 75150-5302

Phone

(972) 613-3700

Fax

(972) 613-3700

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902978950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD",
            "address_2": "SUITE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505302",
            "telephone_number": "972-613-3700",
            "fax_number": "972-613-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD",
            "address_2": "SUITE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505302",
            "telephone_number": "972-613-3700",
            "fax_number": "972-613-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALENDA",
        "first_name": "BEATA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U9341",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alice Denise Walker, PHARMD

• Internal Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.