Active NPI
Daniel Gotlib, DO
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- U2857
- Practice address
- 1411 N Beckley Ave Ste 152
Dallas, TX 75203-1586 - Phone
- (214) 948-7700
- Fax
- (214) 948-7701
- NPI assigned
- Apr 6, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | U2857 | TX | Primary |
Addresses
Primary practice location
1411 N Beckley Ave Ste 152
Dallas, TX 75203-1586
Mailing address
1411 N Beckley Ave Ste 152
Dallas, TX 75203-1586
Phone (214) 948-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
Hospital & facility affiliations
- Texas Health Harris Methodist Hospital Southlake
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U2857 | TX | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Pain Medicine | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Current | Accepting new patients | |
| Pain Management Physicians of Dallas PLLC | Current | Accepting new patients |
Locations
1411 N Beckley Ave
Dallas, TX 75203
Phone (214) 947-4699
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
3500 Gaston Ave
Dallas, TX 75246
1411 N Beckley Ave
Ste 152
Dallas, TX 75203
Phone 2149487700208
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Interoperability endpoints
- dgotlib136363@uihealth.direct-ci.com
Organizations & group practices 6
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.
-
- Interventional Pain Medicine Physician
- Dallas, TX
- NPI 1184943128
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Anesthesiology Physician
- Mesquite, TX
- NPI 1558180083
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southlake, TX
- NPI 1629064928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1154828259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE STE 152",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031586",
"telephone_number": "214-948-7700",
"fax_number": "214-948-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE STE 152",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031586",
"telephone_number": "214-948-7700",
"fax_number": "214-948-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTLIB",
"first_name": "DANIEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-06",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "U2857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 20, 2023; 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.