Individual provider Active NPI

Juliana McElroy, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1053952200
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12891 Issued in TX
Practice address
12200 Park Central Dr
Dallas, TX 75251-2100
Phone
(972) 697-6642
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12891 TX Primary

Addresses

Primary practice location

12200 Park Central Dr
Dallas, TX 75251-2100

Mailing address

12200 Park Central Dr Ste 135
Dallas, TX 75251-2147
Phone (972) 741-7189

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129000208 TX Practitioner - Physician Assistant 0143656884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sameer Syed MD PAGroup PAC ID 6204198575, 16 clinicians

Practice addresses (Care Compare)

1111 Raintree Cir
Suite 170
Allen, TX 75013-4902
Phone (214) 817-4225

1320 N Galloway Ave
Suite 106
Mesquite, TX 75149-2461
Phone (214) 817-4225

3151 W 15TH St
Suite B
Plano, TX 75075-7731
Phone (214) 817-4225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sameer Syed, MD, PA CurrentSince Nov 1, 2024 Accepting new patients
Sameer Syed MD PA CurrentSince Nov 1, 2024 Accepting new patients

Locations

1111 Raintree Cir
Ste 170
Allen, TX 75013
Phone (214) 509-9691

9456 State Highway 121
Ste 100
Frisco, TX 75035
Phone (214) 785-8815

7668 Eldorado Pkwy
Ste 300
McKinney, TX 75070

7668 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (972) 562-7015

1320 N Galloway Ave
Ste 106
Mesquite, TX 75149
Phone (214) 785-8815

3151 W 15th St
Plano, TX 75075
Phone (972) 370-5771

3151 W 15th St
#B
Plano, TX 75075
Phone (972) 370-5771

810 E Ralph Hall Pkwy
Ste 110
Rockwall, TX 75032
Phone (214) 703-1900

1701 N US Highway 75
Ste 100
Sherman, TX 75090
Phone (903) 375-3070

Organizations & group practices 3

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1053952200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 135",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512147",
            "telephone_number": "972-741-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512100",
            "telephone_number": "972-697-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "JULIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.