Individual provider Active NPI

Alexander Benton Vanderzant, PA-C

  • Physician Assistant
  • Highland Village, TX
National Provider Identifier
1932657244
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10672 Issued in TX
Practice address
2300 Highland Village Rd Ste 600
Highland Village, TX 75077-8102
Phone
(972) 317-0331
Fax
(972) 317-3811
NPI assigned
Sep 15, 2016
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10672 TX Primary

Addresses

Primary practice location

2300 Highland Village Rd Ste 600
Highland Village, TX 75077-8102

Mailing address

2300 Highland Village Rd Ste 600
Highland Village, TX 75077-8102
Phone (972) 317-0331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexander.vanderzant@pa.eclinicaldirectplus.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109001926 TX Practitioner - Physician Assistant 0749569085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2721 Panhandle St
Suite 200
Denton, TX 76201-2485
Phone (940) 383-2512

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10672TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jun 1, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Jun 1, 2025 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

Interoperability endpoints

  • Direct secure messaging: avanderzant2647649@direct.texashealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1932657244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHLAND VILLAGE RD STE 600",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750778102",
            "telephone_number": "972-317-0331",
            "fax_number": "972-317-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHLAND VILLAGE RD STE 600",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750778102",
            "telephone_number": "972-317-0331",
            "fax_number": "972-317-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERZANT",
        "first_name": "ALEXANDER",
        "middle_name": "BENTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-15",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexander.vanderzant@pa.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2300 Highland Village Rd Ste 600",
            "city": "Highland Village",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750778102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

Verify at the official NPI Registry.