Active NPI
Alissa Dawn Zastrow Doll, M.D.
- Pediatric Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- Q7677
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7539 - Phone
- (989) 295-6684
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
TX
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
TX
-
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at San Antonio, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dallas Physician Medical Services for Children Inc
Practice addresses (Care Compare)
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-9250
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160817000118 | TX | Practitioner - Anesthesiology | 1759676661 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7677 | TX | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| Complex Care Medical Services Corporation | Past | Accepting new patients |
Locations
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
1935 Medical District Dr
Unit A
Dallas, TX 75235
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | Q7677 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7539
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Other names 1
NPPES NPI Registry- Miss Alissa D Zastrow
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2016.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1154612414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907539",
"telephone_number": "989-295-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLL",
"first_name": "ALISSA",
"middle_name": "DAWN ZASTROW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "TX",
"license": "Q7677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISSA",
"last_name": "ZASTROW",
"middle_name": "D",
"prefix": "MISS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.