Village Medical - Medicare Primary Care in Dallas, TX

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Village Medical is a medicare enrolled primary clinic (Family Medicine) in Dallas, Texas. The current practice location for Village Medical is 5001 Ross Ave # 120, Dallas, Texas. For appointments, you can reach them via phone at (972) 525-9900. The mailing address for Village Medical is Po Box 360541, Pittsburgh, Pennsylvania and phone number is (713) 461-2915.

Village Medical is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295338358. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (972) 525-9900.

Contact Information

Village Medical
5001 Ross Ave # 120
Dallas
TX 75206-7706
(972) 525-9900
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameVillage Medical
SpecialityFamily Medicine
Location5001 Ross Ave # 120, Dallas, Texas
Authorized Official Name and PositionClive K Fields (CMO)
Authorized Official Contact3467660604
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Village Medical
Po Box 360541
Pittsburgh
PA 15251-6541

Ph: (713) 461-2915		Village Medical
5001 Ross Ave # 120
Dallas
TX 75206-7706

Ph: (972) 525-9900

NPI Details:

NPI Number1295338358
Provider Enumeration Date11/19/2020
Last Update Date08/22/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2769896190
Medicare Enrollment IDO20210127000103

Medical Identifiers

Medical identifiers for Village Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295338358NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Village Medical acts as a billing entity for following providers:
Provider NameJoe B Ventimiglia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083647945
PECOS PAC ID: 3274436563
Enrollment ID: I20040202001024
Provider NameHashim A Majeed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609832930
PECOS PAC ID: 0547233397
Enrollment ID: I20040818001243
Provider NameMarina T Vengalil
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1396770947
PECOS PAC ID: 7618929274
Enrollment ID: I20050211000672
Provider NameSnehal Kolhe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417984428
PECOS PAC ID: 2365466265
Enrollment ID: I20060118000781
Provider NameChristian A. Lance
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003903584
PECOS PAC ID: 4587768338
Enrollment ID: I20070403000665
Provider NameRachelle S Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437285541
PECOS PAC ID: 5395807887
Enrollment ID: I20081217000329
Provider NameYue-qing Tan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548401094
PECOS PAC ID: 8921154527
Enrollment ID: I20090923000618
Provider NameLaura L Frye
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578512679
PECOS PAC ID: 6608910831
Enrollment ID: I20100225000421
Provider NameAnthony K Nguyen
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1841234333
PECOS PAC ID: 3971796715
Enrollment ID: I20101025000773
Provider NameClive K Fields
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366447583
PECOS PAC ID: 2961436845
Enrollment ID: I20120606000764
Provider NameTrung Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831401132
PECOS PAC ID: 5890923080
Enrollment ID: I20140115001075
Provider NameNisha Gajendra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578874368
PECOS PAC ID: 3375794704
Enrollment ID: I20140623002429
Provider NameLahri Kancharla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124385471
PECOS PAC ID: 4486966389
Enrollment ID: I20150707001322
Provider NameShabbir Hossain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699935361
PECOS PAC ID: 8325116874
Enrollment ID: I20150727002407
Provider NameThuha N Pham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598908410
PECOS PAC ID: 8426365867
Enrollment ID: I20150916002647
Provider NameFrancis C Oramalu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003889478
PECOS PAC ID: 7416911532
Enrollment ID: I20151109001319
Provider NameSarah Siddiqi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730470147
PECOS PAC ID: 1759509383
Enrollment ID: I20160504002674
Provider NameSonija Shrestha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154779064
PECOS PAC ID: 4284922113
Enrollment ID: I20161010001551
Provider NameLija L Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891135125
PECOS PAC ID: 3779807300
Enrollment ID: I20161219002084
Provider NameKyoko Arata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790234482
PECOS PAC ID: 8628353992
Enrollment ID: I20170329000558
Provider NameSamar Aslam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518306612
PECOS PAC ID: 5193002392
Enrollment ID: I20170425002274
Provider NameAlessandro Valverde
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821400805
PECOS PAC ID: 1254656341
Enrollment ID: I20170823002583
Provider NameJohn Mark Weaver
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912319427
PECOS PAC ID: 6204100068
Enrollment ID: I20170919000536
Provider NameGabriel J Okpagu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669890315
PECOS PAC ID: 1850516881
Enrollment ID: I20171025002047
Provider NameAyesha Kamal Quayyum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720348782
PECOS PAC ID: 5496011686
Enrollment ID: I20171103000504
Provider NameDeepa Abraham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760927172
PECOS PAC ID: 6507121761
Enrollment ID: I20180517002698
Provider NameDipali Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912388141
PECOS PAC ID: 9931446770
Enrollment ID: I20190131002929
Provider NameBachar Elsaadi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326421918
PECOS PAC ID: 9931448685
Enrollment ID: I20190225002405
Provider NameSherine Tresa Jose
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659750230
PECOS PAC ID: 6406168731
Enrollment ID: I20190625000338
Provider NameMarium Siddiqi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457705196
PECOS PAC ID: 4688001613
Enrollment ID: I20200303001986
Provider NameAngelita Dechone Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811453087
PECOS PAC ID: 7214366467
Enrollment ID: I20200409000740
Provider NameAdrienne Prentiss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083610133
PECOS PAC ID: 0749456424
Enrollment ID: I20200429001814
Provider NameAbbey Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497181606
PECOS PAC ID: 0941424253
Enrollment ID: I20201112001063
Provider NameWondwessen Kebede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215440961
PECOS PAC ID: 4688085392
Enrollment ID: I20201202001254
Provider NameJerod Richards
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528472255
PECOS PAC ID: 3678843430
Enrollment ID: I20201223001473
Provider NameEmmanuel C Okolo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093363723
PECOS PAC ID: 9638582323
Enrollment ID: I20210120001024
Provider NameJames Lugo Rodriguez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043706682
PECOS PAC ID: 3678987963
Enrollment ID: I20210127003527
Provider NameDaisy Thomas-gobalakrishna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508884099
PECOS PAC ID: 8921001306
Enrollment ID: I20210629001072
Provider NameJennifer Caling Abalos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841452984
PECOS PAC ID: 6800292715
Enrollment ID: I20210901000536
Provider NameKatie Viviana Noriega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972069110
PECOS PAC ID: 5597155242
Enrollment ID: I20211213000221
Provider NameRachel Ekpenyong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083198394
PECOS PAC ID: 4486908985
Enrollment ID: I20211229001205
Provider NameMan Ton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700097425
PECOS PAC ID: 0749353605
Enrollment ID: I20220106000275
Provider NameRebecca Kirkley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740730944
PECOS PAC ID: 8820366941
Enrollment ID: I20220317000084
Provider NameThoa Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104237346
PECOS PAC ID: 2567752835
Enrollment ID: I20220321001950
Provider NameAmy Lee Gaffney Ngo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457838070
PECOS PAC ID: 5799162764
Enrollment ID: I20220512000659
Provider NameAlona Dalusung Angosta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265414056
PECOS PAC ID: 8729075924
Enrollment ID: I20220623003249
Provider NameAlejandro Rocha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801358338
PECOS PAC ID: 3072994086
Enrollment ID: I20220722000596
Provider NameShinta Jong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154501799
PECOS PAC ID: 1850438342
Enrollment ID: I20220801002591
Provider NameFolake Falaki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073798690
PECOS PAC ID: 7315135258
Enrollment ID: I20220808000935
Provider NameSuryadutt Venkat
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376700039
PECOS PAC ID: 3072648344
Enrollment ID: I20230911000146
Provider NameHabeeb Hussein Habeeb
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487016143
PECOS PAC ID: 3678868742
Enrollment ID: I20240610002366

Reviews and Comments


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Phone: 972-739-3097    Fax: 972-739-2673
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Phone: 214-865-7331    Fax: 855-237-5132

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.