NPIMap

Individual provider Active NPI

Adrienne L Prentiss, M.D.

  • Family Medicine Physician
  • Grapevine, TX
National Provider Identifier
1083610133
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8817 Issued in TX
Practice address
1600 W College St
Ste 510
Grapevine, TX 76051-3589
Phone
(817) 251-1225
Fax
(817) 251-1228
NPI assigned
Jun 23, 2005
Reactivated
Mar 30, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8817 TX Primary

Addresses

Primary practice location

1600 W College St
Ste 510
Grapevine, TX 76051-3589

Mailing address

1600 W College St
Ste 510
Grapevine, TX 76051-3589
Phone (817) 251-1225

Other identifiers 1

IdentifierTypeStateIssuer
0060HPOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200429001814 TX Practitioner - Family Practice 0749456424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians
VMD Primary Providers North Texas PLLCGroup PAC ID 2769896190, 20 clinicians

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

601 Clara Barton Blvd
Suite 145
Garland, TX 75042-5755
Phone (972) 560-9400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8817TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers North Texas, PLLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Dallas County Hospital District CurrentSince Jul 23, 2024 Accepting new patients
Dallas County Hospital District Family Medicine CurrentSince Jul 23, 2024 Accepting new patients
Dallas County Hospital District Current Accepting new patients
Adrienne L. Prentiss, MD PA Past Accepting new patients

Locations

1400 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 266-0500

5001 Ross Ave
#120
Dallas, TX 75206
Phone (214) 269-5002

601 Clara Barton Blvd
Ste 145
Garland, TX 75042
Phone (972) 560-9400

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: adrienne.prentiss.1@13711.direct.athenahealth.com
  • Direct secure messaging: aprentiss419955@direct.phhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083610133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "STE 510",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513589",
            "telephone_number": "817-251-1225",
            "fax_number": "817-251-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "STE 510",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513589",
            "telephone_number": "817-251-1225",
            "fax_number": "817-251-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTISS",
        "first_name": "ADRIENNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060HP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.