Individual provider Active NPI

Timothy Joseph Kirtek, MD

  • Hematology (Pathology) Physician
  • Dallas, TX
National Provider Identifier
1003444274
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
License
V6336 Issued in TX
Practice address
7777 Forest LN Ste C400
Dallas, TX 75230-7516
Phone
(810) 516-1285
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X V6336 TX
Hematology (Pathology) Physician 207ZH0000X V6336 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C400
Dallas, TX 75230-7516

Mailing address

300 Park Meadows Dr
Euless, TX 76039-4338
Phone (810) 516-1285

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
I20250528002260 TX Practitioner - Pathology 1658890157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NTX Pathology Program, PLLCGroup PAC ID 1850722919, 23 clinicians

Practice addresses (Care Compare)

5500 Frisco Square Blvd
Frisco, TX 75034-3305
Phone (469) 269-1737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V6336TXMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NTX Pathology Program, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 7, 2025 Accepting new patients

Locations

7777 Forest Ln
Ste C400
Dallas, TX 75230
Phone (972) 566-3900

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

Organizations & group practices 1

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 5

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1003444274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PARK MEADOWS DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760394338",
            "telephone_number": "810-516-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752307516",
            "telephone_number": "810-516-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRTEK",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "V6336",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "TX",
            "license": "V6336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.