Active NPI
Angela E Scheuerle, M.D.
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1073570586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J7656
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7201 - Phone
- (214) 456-9093
- Fax
- (214) 456-2567
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | J7656 | TX | |
| Clinical Molecular Genetics Physician | 207SG0203X | J7656 | TX | |
| Pediatrics Physician | 208000000X | J7656 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 456-9093
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10008168 | Medicaid | TX | |
| 5586394 | Other | TX | AETNA |
| 905952 | Medicaid | TX | |
| 1554891-01 | Medicaid | TX | |
| 7815483004 | Other | TX | CIGNA |
| 752878989-75230-A002 | Other | TX | TRICARE |
| 0039KK | Other | TX | BCBS PPO AND POS |
| 10097155 | Other | TX | ACCOUNTABLE INS |
| 819234 | Other | TX | FIRST HEALTH |
| 8J9510 | Other | TX | BCBS HMO |
| 200016180A | Medicaid | OK | |
| 5113007 | Other | TX | CCN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J7656 | TX | MD | Clinical Molecular Genetics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Pediatrics | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Locations
1935 Medical District Dr
Unit A
Dallas, TX 75235
2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000
420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 4
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.
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- NPI 1396832713
-
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- Plano, TX
- NPI 1598789984
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1073570586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347",
"telephone_number": "214-456-9093",
"fax_number": "214-456-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907201",
"telephone_number": "214-456-9093",
"fax_number": "214-456-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEUERLE",
"first_name": "ANGELA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "TX",
"license": "J7656",
"primary": false
},
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "TX",
"license": "J7656",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J7656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10008168",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5586394",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "905952",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1554891-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7815483004",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "752878989-75230-A002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO AND POS",
"identifier": "0039KK",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCOUNTABLE INS",
"identifier": "10097155",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "819234",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HMO",
"identifier": "8J9510",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200016180A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5113007",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.