ANTHONY L FAJARDO (N.P.) – Geriatric Medicine (Family Medicine) Physician, NPI 1407367592
Geriatric Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for ANTHONY L FAJARDO (N.P.)
411, Kirk Lane, Cedar Hill, Dallas County, Texas, 75104, United States
CEDAR HILL, TX 751042801
Phone: (469) 939-7812
Fax: (866) 871-3775
Type: Mailing
6363 N STATE HIGHWAY 161 STE 100
IRVING, TX 750382239
Phone: (469) 200-3272
Type: Location
5057 Keller Springs Rd Ste 300
Addison, TX 750016916
Phone: (972) 372-9775
Fax: (866) 871-3775
Type: Location
4293 Kinsey Dr
Tyler, TX 757031004
Phone: (888) 311-0510
Type: Location
Keller Springs Road, Addison, Dallas County, Texas, 75001:75287, United States
ADDISON, TX 750016916
Phone: (972) 372-9775
Fax: (866) 871-3775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181120001903 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 50 | 32 | $0 |
Insurance plans in this area (ZIP 75104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | GA | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| General Surgery | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
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