Individual provider Active NPI

Russell Allison Dickey, M.D.

  • Obstetrics & Gynecology Physician
  • Arlington, TX
National Provider Identifier
1114960333
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H2339 Issued in TX
Practice address
811 W Interstate 20 Ste 218
Arlington, TX 76017-5873
Phone
(817) 277-7133
Fax
(817) 274-6367
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H2339 TX Primary

Addresses

Primary practice location

811 W Interstate 20 Ste 218
Arlington, TX 76017-5873

Mailing address

811 W Interstate 20 Ste 218
Arlington, TX 76017-5873
Phone (817) 277-7133

Other identifiers 2

IdentifierTypeStateIssuer
101559603MedicaidTX
101559602MedicaidTX

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
I20100506000579 TX Practitioner - Obstetrics/Gynecology 8022929124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

811 W Interstate 20
Suite 218
Arlington, TX 76017-5873
Phone (817) 466-9578

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Obstetrics & Gynecology CurrentSince Dec 17, 1988 Accepting new patients
Medhealth CurrentSince Jan 1, 2024 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Dec 17, 1988 Accepting new patients
Medhealth CurrentSince Jan 1, 2024 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

811 W Interstate 20
Ste 218
Arlington, TX 76017
Phone (817) 277-7133

809 W Randol Mill Rd
Ste A
Arlington, TX 76012

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rdickey13662@dm.mhd.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1114960333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W INTERSTATE 20 STE 218",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175873",
            "telephone_number": "817-277-7133",
            "fax_number": "817-274-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W INTERSTATE 20 STE 218",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175873",
            "telephone_number": "817-277-7133",
            "fax_number": "817-274-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "RUSSELL",
        "middle_name": "ALLISON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H2339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101559603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101559602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.