Individual provider Active NPI

Dongchul Paek, D.O.

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1013351840
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S4835 Issued in TX
Practice address
1755 Hunters LN
Flower Mound, TX 75028-2609
Phone
(469) 810-4484
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S4835 TX Primary

Addresses

Primary practice location

1755 Hunters LN
Flower Mound, TX 75028-2609

Mailing address

1755 Hunters LN
Flower Mound, TX 75028-2609
Phone (469) 810-4484

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
I20211012000935 TX Practitioner - Family Practice 7113245226 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dixdowell & Associates Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Oak Street Health of Texas, PLLC Family Medicine CurrentSince Jan 18, 2024 Accepting new patients
Micah Boyer MD Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Centrum Medical Group PLLC CurrentSince Aug 4, 2025 Accepting new patients
Centrum Medical Group, PLLC Current Accepting new patients
Central Texas Community Health Centers PastSince Oct 1, 2021 Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

1213 E Trinity Mills Rd
Ste 173
Carrollton, TX 75006
Phone (972) 962-1296

3001 FM 2181
Ste 300
Corinth, TX 76210
Phone (940) 497-4900

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

7664 McCart Ave
Fort Worth, TX 76133
Phone (817) 346-9700

2355 E Grapevine Mills Cir
Grapevine, TX 76051
Phone (972) 539-6330

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

3901 Armory Rd
Wichita Falls, TX 76302
Phone (940) 397-5431

Interoperability endpoints

  • Direct secure messaging: dongchul.paek@160177656168452.direct.elationemr.com

Organizations & group practices 6

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1013351840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 HUNTERS LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282609",
            "telephone_number": "469-810-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HUNTERS LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282609",
            "telephone_number": "469-810-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEK",
        "first_name": "DONGCHUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.