Individual provider Active NPI

Marcus E. Nealy, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1053383422
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J9913 Issued in TX
Practice address
6606 LBJ Fwy
Suite 200
Dallas, TX 75240-6533
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J9913 TX Primary

Addresses

Primary practice location

6606 LBJ Fwy
Suite 200
Dallas, TX 75240-6533

Mailing address

PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5000

Other identifiers 4

IdentifierTypeStateIssuer
096360506MedicaidTX
P01509703OtherTXRR
096360512MedicaidTX
8EX402OtherTXBCBS

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
I20031106000569 TX Practitioner - AnesthesiologyPractitioner - Family Practice 9032022074 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Practice addresses (Care Compare)

1401 E 8TH St
Weslaco, TX 78596-6640
Phone (956) 968-8567

2 Greenway PLZ
Suite 900
Houston, TX 77046-0205

20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (832) 534-5000

3315 S Alameda St
Corpus Christi, TX 78411-1820
Phone (214) 687-0001

609 Medical Ctr Dr
Decatur, TX 76234-3836
Phone (940) 627-5921

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075
  • Medical City Denton Hospital, Denton, TX, CCN 450634

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Best Choice Anesthesia & Pain PLLC Anesthesiology CurrentSince Aug 12, 2013 Accepting new patients
Baylor College of Medicine Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Reliance Anesthesia Group, PLLC Anesthesiology CurrentSince Oct 18, 2014 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Aug 1, 2005 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Anesthesiology CurrentSince Jul 23, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2020 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince May 23, 2022 Accepting new patients
Anesthesiology Consultants of North Texas PA Anesthesiology CurrentSince Oct 1, 2014 Accepting new patients
Anesthesia Consultants of Dallas LLP Anesthesiology Past Accepting new patients
Waxahachie Anesthesia Consultant Services PA Anesthesiology Past Accepting new patients
Texas Health Care, P.L.L.C. Past Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology Past Accepting new patients

Locations

16415 Addison Rd
Addison, TX 75001
Phone (214) 414-3806

17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

6311 Southwest Blvd
Benbrook, TX 76132
Phone (817) 731-9400

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

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

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

729 W Bedford Euless Rd
Hurst, TX 76053
Phone (817) 282-0917

729 W Bedford Euless Rd
Ste 105
Hurst, TX 76053
Phone (817) 952-3050

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

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

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1053383422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650865",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650865",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LBJ FWY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406533",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALY",
        "first_name": "MARCUS",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J9913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096360506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P01509703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096360512",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EX402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.