Active NPI
Andrew Michael De la Vega, PA-C
- Medical Physician Assistant
- Cedar Hill, TX
National Provider Identifier
1912245184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA08274
- Practice address
- 224 W Pleasant Run Rd
Cedar Hill, TX 75104-5402 - Phone
- (214) 531-7813
- Fax
- (214) 421-4804
- NPI assigned
- Jan 23, 2013
- Last updated
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA08274 | TX | Primary |
Addresses
Primary practice location
224 W Pleasant Run Rd
Cedar Hill, TX 75104-5402
Mailing address
1341 W Mockingbird LN Ste 600
Dallas, TX 75247-6913
Phone (214) 531-7813
Other practice location 1
3160 Gus Thomasson Rd
Mesquite, TX 75150-4048
Phone (214) 531-7813
Other practice location 2
2535 W Pleasant Run Rd
Lancaster, TX 75146-1111
Phone (214) 531-7813
Other practice location 3
9009 White Rock Trl
Dallas, TX 75238-3347
Phone (214) 531-7813
Other practice location 4
2003 Old Orchard Dr
Dallas, TX 75208-3130
Phone (214) 531-7813
Other practice location 5
2918 Duncanville Rd
Dallas, TX 75211-7407
Phone (214) 531-7813
Other practice location 6
2450 Bickers St
Dallas, TX 75212-1507
Phone (214) 531-7813
Other practice location 7
3505 S Buckner Blvd
Dallas, TX 75227-5451
Phone (214) 531-7813
Other practice location 8
1515 N Elm St
Lancaster, TX 75134-3241
Phone (214) 531-7813
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2175 E Southlake Blvd
Suite 120
Southlake, TX 76092-6544
Phone (817) 813-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA08274 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Geriatrics Associates, P.a | Past | Accepting new patients |
Organizations & group practices 7
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.
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- NPI 1316078769
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- Internal Medicine Physician
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- NPI 1104057272
-
- Emergency Medicine Physician
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- NPI 1265441620
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- Emergency Medicine Physician
- Grapevine, TX
- NPI 1316295066
-
- Geriatric Medicine (Family Medicine) Physician
- Dallas, TX
- NPI 1710662754
-
- Geriatric Medicine (Family Medicine) Physician
- Balch Springs, TX
- NPI 1629258058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1912245184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 W MOCKINGBIRD LN STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752476913",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W PLEASANT RUN RD",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751045402",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804"
}
],
"practiceLocations": [
{
"address_1": "3160 Gus Thomasson Rd",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751504048",
"country_code": "US",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2535 W Pleasant Run Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "TX",
"postal_code": "751461111",
"country_code": "US",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9009 White Rock Trl",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752383347",
"country_code": "US",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2003 Old Orchard Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752083130",
"country_code": "US",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2918 Duncanville Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752117407",
"country_code": "US",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2450 Bickers St",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752121507",
"country_code": "US",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3505 S Buckner Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752275451",
"country_code": "US",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 N Elm St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "TX",
"postal_code": "751343241",
"country_code": "US",
"telephone_number": "214-531-7813",
"fax_number": "214-421-4804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA VEGA",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-23",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA08274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.