Individual provider Active NPI

Ernesto Pruna, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1932305828
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7330 Issued in TX
Practice address
13140 Coit Rd Ste 312
Dallas, TX 75240-5703
Phone
(832) 754-3450
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N7330 TX Primary

Addresses

Primary practice location

13140 Coit Rd Ste 312
Dallas, TX 75240-5703

Mailing address

13140 Coit Rd Ste 312
Dallas, TX 75240-5703
Phone (972) 598-0270

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
I20110124000893 TX Practitioner - Family Practice 8325173164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13140 Coit Rd
Suite 312
Dallas, TX 75240-5703
Phone (972) 598-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pruna Family Medicine PLLC Family Medicine CurrentSince Aug 22, 2018 Accepting new patients
Modern Medical House Calls PLLC PastSince Dec 24, 2016 Accepting new patients

Locations

8140 Walnut Hill Ln
Ste 102
Dallas, TX 75231
Phone (214) 267-1400

13140 Coit Rd
Ste 312
Dallas, TX 75240
Phone (832) 754-3450

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1932305828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405703",
            "telephone_number": "972-598-0270",
            "fax_number": "972-598-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405703",
            "telephone_number": "832-754-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNA",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.