MTV Ir PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

J4583 Issued in TX

Legal business name

MTV IR PLLC

Practice address

9101 N Central Expy Ste 550
Dallas, TX 75231-5947

Phone

(469) 458-9800

Fax

(469) 458-9900

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Travis A Van Meter, MDNPI 1750339461

Title

Partner

Phone

(469) 458-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Van Meter, MD

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
  • NPI 1750339461
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Eric Anderson, MD

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
  • NPI 1427065176
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1962825760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STOW AVE STE 200",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212560",
            "telephone_number": "330-564-2659",
            "fax_number": "330-546-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315947",
            "telephone_number": "469-458-9800",
            "fax_number": "469-458-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTV IR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "469-458-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "J4583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• April Ellen Mucciacciaro, M.ED., LMFTA
• Kathy Lammedal Mucha, FPMHNP
• Zachary Steven Mucha

• Vascular & Interventional Radiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Vascular & Interventional Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.