Active NPI
Raetasha Sheavette Dabney, M.D.
- Hematology & Oncology Physician
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- N3593
- 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, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124219449 | Medicaid | TX | |
| 35439802 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- 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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | 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
- r.dabney@choicecancer.oncoemrdirect.com
- rdabney1836421@direct.texashealth.org
- 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.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Medical Oncology Physician
- Southlake, TX
- NPI 1518147594
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Grapevine
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.