Organization Active NPI

Peak Life Health PLLC

Doing business as Rederm Wound Care Solutions, PLLC

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1073383105
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PEAK LIFE HEALTH PLLC
Doing business as
Rederm Wound Care Solutions, PLLC
Practice address
17430 Campbell Rd Ste 206
Dallas, TX 75252-5213
Phone
(254) 475-4754
Fax
(254) 273-8863
NPI assigned
Jan 9, 2024
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Dr. Raman Dhillon, MDNPI 1629464680
Title
Owner
Phone
(097) 148-7339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Health Service Clinic/Center 261QH0100X NU
Infusion Therapy Clinic/Center 261QI0500X NU
Primary Care Clinic/Center 261QP2300X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

17430 Campbell Rd Ste 206
Dallas, TX 75252-5213

Mailing address

17430 Campbell Rd Ste 206
Dallas, TX 75252-5213
Phone (254) 475-4754

Other names 1

  • REDERM WOUND CARE SOLUTIONS, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260122001112 TX Part B Supplier - Clinic/Group Practice 9931686805 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

17430 Campbell Rd
Ste 206
Dallas, TX 75252
Phone (254) 475-4754

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1073383105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17430 CAMPBELL RD STE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525213",
            "telephone_number": "254-475-4754",
            "fax_number": "254-273-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17430 CAMPBELL RD STE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525213",
            "telephone_number": "254-475-4754",
            "fax_number": "254-273-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK LIFE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "097-148-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDERM WOUND CARE SOLUTIONS, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.