Active NPI
Merick Yamada, MD
- Pediatric Cardiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- T0394
- Practice address
- 7777 Forest LN Ste D1190
Dallas, TX 75230-6818 - Phone
- (972) 566-5600
- NPI assigned
- Jun 1, 2015
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 208000000X | OK | |
| Pediatrics Physician | 208000000X | T0394 | TX | |
| Pediatric Cardiology Physician | 2080P0202X | T0394 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN Ste D1190
Dallas, TX 75230-6818
Mailing address
7777 Forest LN Ste D1190
Dallas, TX 75230-6818
Phone (972) 566-5600
Other practice location 1
1200 Childrens Ave
Oucp 14000 A2
Oklahoma City, OK 73104-4637
Phone (405) 271-4417
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1T6153 | Other | TX | MEDICARE INDIVIDUAL |
| 431706701 | Medicaid | TX |
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 |
|---|---|---|---|
| 208000000X | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Locations
4927 S Collins St
Ste 101
Arlington, TX 76018
Phone (817) 465-7764
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
7557 Rambler Rd
Ste 290
Dallas, TX 75231
1825 Cannon Dr
Mansfield, TX 76063
Phone (817) 453-7770
252 Matlock Rd
Ste 330
Mansfield, TX 76063
Phone (817) 557-5437
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
7211 Preston Rd
Ste 4100
Plano, TX 75024
7211 Preston Rd
Ste 4200
Plano, TX 75024
1005 W Ralph Hall Pkwy
Ste 233
Rockwall, TX 75032
Phone (214) 730-5437
Interoperability endpoints
- merick.yamada@hca7.eclinicaldirectplus.com
- myamada114878@direct.childrens.com
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.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1073993424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE D1190",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306818",
"telephone_number": "972-566-5600",
"fax_number": "972-566-5680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE D1190",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306818",
"telephone_number": "972-566-5600"
}
],
"practiceLocations": [
{
"address_1": "1200 Childrens Ave",
"address_2": "OUCP 14000 A2",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731044637",
"country_code": "US",
"telephone_number": "405-271-4417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAMADA",
"first_name": "MERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "208000000X",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T0394",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TX",
"license": "T0394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL",
"identifier": "1T6153",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431706701",
"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 Apr 19, 2022; 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.