Active NPI
Louis Degironemo, MD
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
National Provider Identifier
1972732642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- Q0036
- Practice address
- 3920 W Wheatland Rd
# 134
Dallas, TX 75237-3401 - Phone
- (214) 941-3192
- Fax
- (214) 941-3762
- NPI assigned
- Jul 2, 2009
- Last updated
- Aug 18, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Q0036 | TX | |
| Anesthesiology Physician | 207L00000X | Q0036 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Q0036 | TX | Primary |
Addresses
Primary practice location
3920 W Wheatland Rd
# 134
Dallas, TX 75237-3401
Mailing address
3920 W Wheatland Rd
# 134
Dallas, TX 75237-3401
Phone (214) 941-3192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q0036 | Other | TX | TEXAS MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0036 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LD Wellness PLLC | Pain Medicine | Current | Accepting new patients |
| LD Anesthesia Consultants, PLLC | Pain Medicine | Current | Accepting new patients |
| Oakwood Medical Services, PLLC | Past | Accepting new patients |
Interoperability endpoints
- ldegiron@yourcarecommunity.org
- louis.degironemo.1@13131.direct.athenahealth.com
- louis.degironemo.2@13131.direct.athenahealth.com
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.
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1366937013
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1245723428
-
- Pain Medicine Physician
- Fort Worth, TX
- NPI 1760830996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1972732642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 W WHEATLAND RD",
"address_2": "# 134",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373401",
"telephone_number": "214-941-3192",
"fax_number": "214-941-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 W WHEATLAND RD",
"address_2": "# 134",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373401",
"telephone_number": "214-941-3192",
"fax_number": "214-941-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGIRONEMO",
"first_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "Q0036",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "Q0036",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "Q0036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "Q0036",
"state": "TX"
}
],
"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 Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.