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Dallas County Hospital District

Organization Active NPI Internal Medicine Physician · Dallas, TX

NPI 1154780245 · NPPES record last updated Dec 7, 2022

Key facts

NPI
1154780245
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
DALLAS COUNTY HOSPITAL DISTRICT
Practice address
9202 Elam Rd FL 1
Dallas, TX 75217-4151
Phone
(214) 266-1834
NPI assigned
Feb 17, 2016
Organization subpart
No

Authorized official

Name
Frederick P Cerise, MD
Title
President & Chief Executive Officer
Phone
(214) 590-8006

Other NPIs on the same Medicare enrollment 50

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 50

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1,656

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,656

Medicare Care Compare: Hospital

Listed as
Parkland Health & Hospital System CCN 450015
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

Hospital certification: CCN 450015

Legal name
DALLAS COUNTY HOSPITAL DISTRICT
Doing business as
PARKLAND HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 14, 2024
Beds
968
Ownership / control type
Hospital district or authority
Organization structure
Other · Non-profit
Enrollment address
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frederick P Cerise
Individual 		Corporate Officer
Chief Executive Officer		 Mar 24, 2014 100%
Operational/Managerial Control
President Chief Executive Office		 Mar 24, 2014
Gerry Baker
Individual 		Corporate Director
Sr VP Revenue Cycle		 Apr 29, 2021
W-2 Managing Employee
Sr VP Revenue Cycle		 Apr 29, 2021
Dallas County Hospital District
Organization · Dallas, TX
Corporation 		Operational/Managerial Control Apr 22, 1966
Errica Brown
Individual 		W-2 Managing Employee
Provider Enrollment Program Mana		 Oct 13, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040315000583 TX Part B Supplier - Clinic/Group Practice 8325934813 Receives reassigned benefits from 932 practitioners
44 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX; Irving, TX; Grand Prairie, TX; Garland, TX; Farmers Branch, TX
O20060918000188 TX Part a Provider - Hospital 8325934813 44 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Dallas County Hospital Dist (95 organizations share this tax ID)

Locations

9202 Elam Rd
Ste 210
Dallas, TX 75217
Phone (214) 266-1834

9202 Elam Rd
#210
Dallas, TX 75217

9202 Elam Rd
Fl 1
Dallas, TX 75217
Phone (214) 266-1500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 104100000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

9202 Elam Rd FL 1
Dallas, TX 75217-4151

Mailing address

PO Box 660599
Dallas, TX 75266-0599

Other identifiers

IdentifierTypeStateIssuer
355956901MedicaidTX

Other names

  • Southeast Dallas Acute Response Clinic Doing business as

Other providers in Dallas, TX

All providers in Dallas, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.