Individual provider Active NPI

Ivanoe Jose Antonio Vega Dulanto, MD

  • Hematology & Oncology Physician
  • Abilene, TX
National Provider Identifier
1992913461
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
N2866 Issued in TX
Practice address
2000 Pine St
Abilene, TX 79601-2434
Phone
(325) 670-6340
Fax
(325) 673-0174
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X N2866 TX Primary

Addresses

Primary practice location

2000 Pine St
Abilene, TX 79601-2434

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220

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
I20090807000279 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5991858995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432

1904 Pine St
Abilene, TX 79601-2450

2000 Pine St
Abilene, TX 79601-2434
Phone (325) 673-0100

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2866TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Current Accepting new patients
Hendrick Provider Network Hematology & Oncology CurrentSince Jul 1, 2009 Accepting new patients
Hendrick Provider Network CurrentSince Jul 1, 2009 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

2000 Pine St
Abilene, TX 79601
Phone (325) 670-6340

Interoperability endpoints

  • Direct secure messaging: josevega@hmc.allscriptsdirect.net
  • Direct secure messaging: jose.vega.1@21794.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 and National Provider Directory roles.

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1992913461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4220",
            "fax_number": "325-672-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012434",
            "telephone_number": "325-670-6340",
            "fax_number": "325-673-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA DULANTO",
        "first_name": "IVANOE",
        "middle_name": "JOSE ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "N2866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.