Complex Care Medical Services Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

COMPLEX CARE MEDICAL SERVICES CORPORATION

Practice address

1935 Medical District Dr
Dallas, TX 75235-7701

Phone

(469) 488-7200

Fax

(214) 456-1240

NPI assigned

Feb 11, 2013

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Melton

Title

SVP Physician Operations

Phone

(214) 456-0039

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 425

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monica Ann Blazek, MD

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1508494907
  Medicare reassignment Care Compare group NPD
• Patricia Joan Hicks, MD

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1073574364
  Medicare reassignment Care Compare group NPD
• Patricia Allyson Petroff, M.D.

  • Pediatrics Physician
  • McKinney, TX
  • NPI 1518055052
  Medicare reassignment Care Compare group NPD
• Kaitlyn M Sheetz, APRN

  • Pediatric Nurse Practitioner
  • Dallas, TX
  • NPI 1184247702
  Medicare reassignment Care Compare group NPD
• Elizabeth Rachel Thomas, DO

  • Pediatrics Physician
  • Carrollton, TX
  • NPI 1386835569
  Medicare reassignment Care Compare group NPD
• Sari Hochberger Bar, D.O.

  • Developmental - Behavioral Pediatrics Physician
  • Dallas, TX
  • NPI 1326331000
  Medicare reassignment NPD
• Ranjith Kasanagottu, MD

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1851771976
  Medicare reassignment NPD
• Beatriz Michelle Macdonald Wer, PH.D.

  • Psychologist
  • Fort Worth, TX
  • NPI 1124465034

  Pediatrics

  Medicare reassignment NPD
• Paula Patricia Rosales, NP

  • Pediatric Nurse Practitioner
  • Plano, TX
  • NPI 1881908556
  Medicare reassignment NPD
• Veronica Bordes Edgar, PH.D.

  • Clinical Neuropsychologist
  • Dallas, TX
  • NPI 1760790216
  Medicare reassignment
• Ann Simon Abraham, CPNP

  • Pediatric Nurse Practitioner
  • Dallas, TX
  • NPI 1427315183
  NPD
• Merin M Abraham, CPNP

  • Pediatric Nurse Practitioner
  • Dallas, TX
  • NPI 1033431408
  NPD

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1013256098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "214-456-7000",
            "fax_number": "214-456-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "469-488-7200",
            "fax_number": "214-456-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX CARE MEDICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "SVP PHYSICIAN OPERATIONS",
        "authorized_official_telephone_number": "214-456-0039"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317409601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317409602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317409603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassionate Transitions Private Home Care
• Complete Family Practice & Sports Medicine, PA
• Complete Spinal Care and Rehab, PA
• Complete Treatment LLC
• Complete Wellness
• Complex Vein and Vascular Specialists, PLLC
• Comprehensive Cardiac & Vascular Interventional Group
• Comprehensive Chemical Awareness Programs (C-Cap)
• Comprehensive Diagnostic Imaging, LLC
• Comprehensive Interventional Pain Procedure Center

• Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.