Individual provider Active NPI

Raetasha Sheavette Dabney, M.D.

  • Hematology & Oncology Physician
  • Southlake, TX
National Provider Identifier
1124219449
Registry record updated Apr 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
N3593 Issued in TX
Practice address
431 E State Highway 114 Ste 470
Southlake, TX 76092-4415
Phone
(214) 379-2700
Fax
(972) 869-3875
NPI assigned
Aug 5, 2007
Last updated
Apr 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X N3593 TX Primary

Addresses

Primary practice location

431 E State Highway 114 Ste 470
Southlake, TX 76092-4415

Mailing address

7415 Las Colinas Blvd Ste 100
Irving, TX 75063-7569
Phone (214) 379-2722

Other practice location 1

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-4808

Other practice location 2

7415 Las Colinas Blvd Ste 100
Irving, TX 75063-7569
Phone (214) 379-2722

Other identifiers 2

IdentifierTypeStateIssuer
1124219449MedicaidTX
35439802MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address r.dabney@choicecancer.OncoEMRDirect.com Direct

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
I20110503000438 TX Practitioner - Hematology/OncologyPractitioner - Emergency Medicine 0547445793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Emergency Medicine
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1631 Lancaster Dr
Suite 150
Grapevine, TX 76051-3586
Phone (817) 251-9080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Hematology & Oncology Current Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Mar 10, 2023 Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Mar 10, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Southlake Oncology Past Accepting new patients

Locations

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1631 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 251-9080

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Interoperability endpoints

  • Direct secure messaging: r.dabney@choicecancer.oncoemrdirect.com
  • Direct secure messaging: rdabney1836421@direct.texashealth.org
  • Direct secure messaging: raetasha.dabney@txo.ikm.direct-ci.com

Organizations & group practices 5

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 1

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1124219449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 LAS COLINAS BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637569",
            "telephone_number": "214-379-2722",
            "fax_number": "972-869-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E STATE HIGHWAY 114 STE 470",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924415",
            "telephone_number": "214-379-2700",
            "fax_number": "972-869-3875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-4808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7415 Las Colinas Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750637569",
            "country_code": "US",
            "telephone_number": "214-379-2722",
            "fax_number": "972-869-3875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABNEY",
        "first_name": "RAETASHA",
        "middle_name": "SHEAVETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "N3593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124219449",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35439802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "r.dabney@choicecancer.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7415 Las Colinas Blvd Ste 100",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750637569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.