| Village Medical | |
|
5001 Ross Ave # 120 Dallas TX 75206-7706 | |
| (972) 525-9900 | |
| Not Available |
| Full Name | Village Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 5001 Ross Ave # 120, Dallas, Texas |
| Authorized Official Name and Position | Rebecca Rager (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 8449690686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Medical Po Box 30842 Belfast ME 04915-2060 Ph: (713) 461-2915 | Village Medical 5001 Ross Ave # 120 Dallas TX 75206-7706 Ph: (972) 525-9900 |
| NPI Number | 1295338358 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/23/2026 |
| Medicare PECOS PAC ID | 2769896190 |
|---|---|
| Medicare Enrollment ID | O20210127000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295338358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Hashim a Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609832930 PECOS PAC ID: 0547233397 Enrollment ID: I20040818001243 |
| Provider Name | Marina T Vengalil |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396770947 PECOS PAC ID: 7618929274 Enrollment ID: I20050211000672 |
| Provider Name | Rachelle S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437285541 PECOS PAC ID: 5395807887 Enrollment ID: I20081217000329 |
| Provider Name | Yue-qing Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548401094 PECOS PAC ID: 8921154527 Enrollment ID: I20090923000618 |
| Provider Name | Le T Giang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801091525 PECOS PAC ID: 9335286913 Enrollment ID: I20091030000469 |
| Provider Name | Laura L Frye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578512679 PECOS PAC ID: 6608910831 Enrollment ID: I20100225000421 |
| Provider Name | Anthony K Nguyen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841234333 PECOS PAC ID: 3971796715 Enrollment ID: I20101025000773 |
| Provider Name | Clive K Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366447583 PECOS PAC ID: 2961436845 Enrollment ID: I20120606000764 |
| Provider Name | Trung Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831401132 PECOS PAC ID: 5890923080 Enrollment ID: I20140115001075 |
| Provider Name | Jie Ding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780990218 PECOS PAC ID: 1355535980 Enrollment ID: I20150105000834 |
| Provider Name | Shabbir Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699935361 PECOS PAC ID: 8325116874 Enrollment ID: I20150727002407 |
| Provider Name | Thuha N Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598908410 PECOS PAC ID: 8426365867 Enrollment ID: I20150916002647 |
| Provider Name | Eduardo a Alvarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588642524 PECOS PAC ID: 6103135777 Enrollment ID: I20151021002204 |
| Provider Name | Francis C Oramalu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003889478 PECOS PAC ID: 7416911532 Enrollment ID: I20151109001319 |
| Provider Name | Sarah Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730470147 PECOS PAC ID: 1759509383 Enrollment ID: I20160504002674 |
| Provider Name | Susana Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639502347 PECOS PAC ID: 6901199827 Enrollment ID: I20160728002559 |
| Provider Name | Ijeoma L Bethel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671017 PECOS PAC ID: 1759675846 Enrollment ID: I20160812002100 |
| Provider Name | Kyoko Arata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790234482 PECOS PAC ID: 8628353992 Enrollment ID: I20170329000558 |
| Provider Name | Samar Aslam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518306612 PECOS PAC ID: 5193002392 Enrollment ID: I20170425002274 |
| Provider Name | Gabriel J Okpagu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669890315 PECOS PAC ID: 1850516881 Enrollment ID: I20171025002047 |
| Provider Name | Ayesha Kamal Quayyum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720348782 PECOS PAC ID: 5496011686 Enrollment ID: I20171103000504 |
| Provider Name | Elease S Gathings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144519851 PECOS PAC ID: 9335327808 Enrollment ID: I20180410002353 |
| Provider Name | Deepa Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760927172 PECOS PAC ID: 6507121761 Enrollment ID: I20180517002698 |
| Provider Name | Dipali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912388141 PECOS PAC ID: 9931446770 Enrollment ID: I20190131002929 |
| Provider Name | Kamille Romain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194104950 PECOS PAC ID: 1355631482 Enrollment ID: I20190403002243 |
| Provider Name | Lauren Frances Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710538053 PECOS PAC ID: 3476885344 Enrollment ID: I20191025000481 |
| Provider Name | Marium Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457705196 PECOS PAC ID: 4688001613 Enrollment ID: I20200303001986 |
| Provider Name | Angelita Dechone Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811453087 PECOS PAC ID: 7214366467 Enrollment ID: I20200409000740 |
| Provider Name | Adrienne Prentiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083610133 PECOS PAC ID: 0749456424 Enrollment ID: I20200429001814 |
| Provider Name | Wondwessen Kebede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215440961 PECOS PAC ID: 4688085392 Enrollment ID: I20201202001254 |
| Provider Name | Kristi N Catacutan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780239210 PECOS PAC ID: 1759781792 Enrollment ID: I20210614002277 |
| Provider Name | Jennifer Caling Abalos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841452984 PECOS PAC ID: 6800292715 Enrollment ID: I20210901000536 |
| Provider Name | Katie Viviana Noriega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972069110 PECOS PAC ID: 5597155242 Enrollment ID: I20211213000221 |
| Provider Name | Man Ton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700097425 PECOS PAC ID: 0749353605 Enrollment ID: I20220106000275 |
| Provider Name | Sintu Brayen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043804271 PECOS PAC ID: 6507252616 Enrollment ID: I20220329001923 |
| Provider Name | Alejandro Rocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801358338 PECOS PAC ID: 3072994086 Enrollment ID: I20220722000596 |
| Provider Name | Gabriela De Vita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821600180 PECOS PAC ID: 8729474523 Enrollment ID: I20230320001951 |
| Provider Name | Minakshi Rajpoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851715007 PECOS PAC ID: 8224258207 Enrollment ID: I20230419000005 |
Perry K. Beckstrom, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 |
John A. Demopulos, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 |
North Dallas Orthopedics & Rehabilitation, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 |
Abounding Prosperity Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1705 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 214-421-4800 |
Premier Medical Services LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 |