Individual provider Active NPI

Ruth Osei Fordjour, M.D.

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1003072695
Registry record updated Jul 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q2478 Issued in TX
Practice address
12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202
Phone
(214) 957-4754
NPI assigned
Aug 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD2010-0174 NM
Pediatrics Physician 208000000X 036124320 IL
Pediatrics Physician 208000000X Q2478 TX Primary
Pediatrics Physician 208000000X 2014-01745 NC

Addresses

Primary practice location

12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202

Mailing address

12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202
Phone (214) 957-4754

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
I20180208000033 TX Practitioner - Pediatric Medicine 5193859189 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036124320ILMDPediatrics Physician
2014-01745NCMDPediatrics Physician
MD2010-0174NMMDPediatrics Physician
Q2478TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
Questcare Hospitalists PLLC Pediatrics CurrentSince Jan 1, 2018 Accepting new patients
Children'S Health System of Texas Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

12221 Merit Dr
Ste 1500
Dallas, TX 75251
Phone (214) 217-1900

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Interoperability endpoints

  • Direct secure messaging: roseifordjour521670@direct.childrens.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437264000000",
    "number": "1003072695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-957-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-957-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEI FORDJOUR",
        "first_name": "RUTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-02",
        "last_updated": "2015-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2010-0174",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036124320",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q2478",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2014-01745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.