Individual provider Active NPI

Federico Maese, M.D.

  • Cardiovascular Disease Physician
  • Red Oak, TX
National Provider Identifier
1922123728
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J4319 Issued in TX
Practice address
269 E Ovilla Rd Ste 100
Red Oak, TX 75154-2616
Phone
(469) 719-3690
Fax
(469) 719-3680
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X J4319 TX
Cardiovascular Disease Physician 207RC0000X J4319 TX Primary

Addresses

Primary practice location

269 E Ovilla Rd Ste 100
Red Oak, TX 75154-2616

Mailing address

269 E Ovilla Rd Ste 100
Red Oak, TX 75154-2616
Phone (469) 719-3690

Other practice location 1

408 S Cesar Chavez Blvd
Dallas, TX 75201-5808
Phone (214) 760-9701

Other identifiers 2

IdentifierTypeStateIssuer
1312708-01MedicaidTX
131230801MedicaidTX

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
I20031119000086 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325952799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Federico Maese MD. PAGroup PAC ID 9537327077, 2 clinicians

Practice addresses (Care Compare)

400 N Interstate Hwy 45 130
1St Health Medical and Cardiology
Ennis, TX 75119-5106
Phone (469) 719-3690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis County Surgery and Endoscopy Center PLLC Multi-Specialty Current Accepting new patients
Reliance Imaging LLC Multi-Specialty CurrentSince Feb 15, 2012 Accepting new patients
TP Specialty Surgery Center LP PastSince Apr 30, 2003 Accepting new patients
Doctors Interpretive Services Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHJBCD/Endpoint/FHJBCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1922123728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E OVILLA RD STE 100",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542616",
            "telephone_number": "469-719-3690",
            "fax_number": "469-719-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 E OVILLA RD STE 100",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542616",
            "telephone_number": "469-719-3690",
            "fax_number": "469-719-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 S Cesar Chavez Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752015808",
            "country_code": "US",
            "telephone_number": "214-760-9701",
            "fax_number": "214-760-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAESE",
        "first_name": "FEDERICO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4319",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J4319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312708-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131230801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

Verify at the official NPI Registry.