Active NPI
Dennis James Costa, M.D.
- Medical Oncology Physician
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- H5160
- Practice address
- 2790 Lake Vista Dr
Lewisville, TX 75067-3884 - Phone
- (972) 459-1300
- Fax
- (972) 459-1382
- NPI assigned
- Jun 2, 2006
- Last updated
- Aug 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | H5160 | TX | Primary |
Addresses
Primary practice location
2790 Lake Vista Dr
Lewisville, TX 75067-3884
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137791308 | Medicaid | TX | |
| 137791306 | Medicaid | TX | |
| 137791307 | Medicaid | TX | |
| 137791309 | Medicaid | TX | |
| 8R1416 | Other | TX | BLUE CROSS OF TEXAS |
| 137791305 | Medicaid | TX | |
| 137791311 | Medicaid | TX | |
| 137791304 | Medicaid | TX | |
| 137791301 | Medicaid | TX | |
| 137791303 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Medical College of Wisconsin, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3001 E President George Bush Hwy
Suite 100
Richardson, TX 75082-3542
3001 E President George Bush Tpke
Suite 100
Richardson, TX 75082-3542
PO Box
Suite 911242
Dallas, TX 75391-1242
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H5160 | TX | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
Locations
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
4370 Medical Arts Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 537-4100
2001 N MacArthur Blvd
Ste 630
Irving, TX 75061
Phone (214) 252-7020
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
2790 Lake Vista Dr
Lewisville, TX 75067
Phone (972) 221-0147
500 W Main St
Ste 350
Lewisville, TX 75057
Phone (972) 429-1300
Interoperability endpoints
- dmcdcosta@yourcarecommunity.org
Organizations & group practices 2
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1083652291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-437-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 LAKE VISTA DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673884",
"telephone_number": "972-459-1300",
"fax_number": "972-459-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "DENNIS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "H5160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791308",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791306",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791307",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791309",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "8R1416",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791305",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791311",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791304",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137791303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
- Core Behavioral
- Cornerstone Home Health Agency Inc.
- Debra Cosentino, LPC
- Regina Coss, D.C.
- Cossa LLC
- Costco Wholesale Corporation (Costco Optical #683)
- Costco Wholesale Corporation (Costco Hearing Aid #683)
- Costco Wholesale Corporation (Costco Pharmacy #683)
- Costello Clinic, P.a.
- Louis E Costello, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.