Individual provider Active NPI

Merick Yamada, MD

  • Pediatric Cardiology Physician
  • Dallas, TX
National Provider Identifier
1073993424
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
T0394 Issued in TX
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

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1T6153OtherTXMEDICARE INDIVIDUAL
431706701MedicaidTX

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
I20210901001394 TX Practitioner - Pediatric Medicine 5991101826 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208000000XOKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics Current Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Feb 14, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Feb 14, 2024 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

  • Direct secure messaging: merick.yamada@hca7.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.