Active NPI
Paul J Alberico, M.D.
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1952508145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q1783
- Practice address
- 39769 Interstate 20
Dallas, TX 75237 - Phone
- (972) 780-0802
- NPI assigned
- Jun 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Family Medicine Physician | 207Q00000X | Q1783 | TX | Primary |
Addresses
Primary practice location
39769 Interstate 20
Dallas, TX 75237
Mailing address
PO Box 9101
Coppell, TX 75019-9494
Other practice location 1
64 Bleecker St # 151
New York, NY 10012-2410
Phone (302) 313-1584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galileo Medical Group Ga, P.C. | Family Medicine | Current | Accepting new patients |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960
64 Bleecker St
New York, NY 10012
Phone (302) 313-1584
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
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.
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1952508145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9101",
"city": "COPPELL",
"state": "TX",
"postal_code": "750199494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39769 INTERSTATE 20",
"city": "DALLAS",
"state": "TX",
"postal_code": "75237",
"telephone_number": "972-780-0802"
}
],
"practiceLocations": [
{
"address_1": "64 Bleecker St # 151",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100122410",
"country_code": "US",
"telephone_number": "302-313-1584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBERICO",
"first_name": "PAUL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q1783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.