Individual provider Active NPI

Eduardo Galang Acosta, M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1972669349
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7345 Issued in TX
Practice address
6521 Geneseo Cir
Plano, TX 75023-1615
Phone
(972) 358-0166
Fax
(972) 783-1303
NPI assigned
Dec 29, 2006
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E7345 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X E7345 TX

Addresses

Primary practice location

6521 Geneseo Cir
Plano, TX 75023-1615

Mailing address

6521 Geneseo Cir
Plano, TX 75023-1615
Phone (972) 783-0222

Other identifiers 2

IdentifierTypeStateIssuer
E7345OtherTXTEXAS MEDICAL BOARD
1202491-03MedicaidTX

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
I20100701000238 TX Practitioner - Family PracticePractitioner - Physical Medicine and Rehabilitation 8527199744 Practice locations: Plano, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7345TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Medical Center Princeton CurrentSince Apr 11, 2021 Accepting new patients
Dux2 LLC CurrentSince Oct 1, 2023 Accepting new patients
Rivsal Corporation, Inc. Past Accepting new patients

Locations

820 E Princeton Dr
Princeton, TX 75407
Phone (972) 734-2550

375 Municipal Dr
Ste 134
Richardson, TX 75080
Phone (214) 483-3170

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Green Hills Hospice LLCRockwall, TX, CCN 741636 Hospice Contracted Managing Employee Apr 14, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1972669349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 GENESEO CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750231615",
            "telephone_number": "972-783-0222",
            "fax_number": "972-783-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 GENESEO CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750231615",
            "telephone_number": "972-358-0166",
            "fax_number": "972-783-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "EDUARDO",
        "middle_name": "GALANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E7345",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "E7345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "E7345",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202491-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.