Active NPI
Richard M Dulaney, M.D.
- Pediatrics Physician
- Fredericksburg, TX
National Provider Identifier
1922010891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K3900
- Practice address
- 816 Reuben St
Fredericksburg, TX 78624 - Phone
- (830) 997-3132
- Fax
- (830) 997-6175
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K3900 | TX | Primary |
Addresses
Primary practice location
816 Reuben St
Fredericksburg, TX 78624
Mailing address
816 Reuben St
Fredericksburg, TX 78624
Phone (830) 997-3132
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3900 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women and Children First, PA | Specialist | Past | Accepting new patients |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
- Specialist
- Fredericksburg, TX
- NPI 1053320960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570838400000",
"number": "1922010891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 REUBEN ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "78624",
"telephone_number": "830-997-3132",
"fax_number": "830-997-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 REUBEN ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "78624",
"telephone_number": "830-997-3132",
"fax_number": "830-997-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULANEY",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2019-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K3900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.