Active NPI
Elizabeth Southworth, MD
- Obstetrics & Gynecology Physician
- Dallas, TX
National Provider Identifier
1154947471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4351046130
- Practice address
- 5323 Harry Hines Blvd # G6.206
Dallas, TX 75390-5000 - Phone
- (214) 648-8211
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4351046130 | MI | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd # G6.206
Dallas, TX 75390-5000
Mailing address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-9434
Other practice location 1
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-9434
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
- Obstetrics/Gynecology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5323 Harry Hines Blvd
Dallas, TX 75390-7208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Obstetrics & Gynecology | 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 |
Locations
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1710959135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154947471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-9434",
"fax_number": "734-232-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD # G6.206",
"city": "DALLAS",
"state": "TX",
"postal_code": "753905000",
"telephone_number": "214-648-8211"
}
],
"practiceLocations": [
{
"address_1": "1500 E Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-936-9434",
"fax_number": "734-232-0009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOUTHWORTH",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2025-09-11",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4351046130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Southwest Surgical Oncology Associates
- Southwest Urology Associates
- Southwest Vascular and Surgical Group
- Southwestern Pain Institute, PA
- Southwestern Women'S Surgery Center
- Cathey Soutter, PHD, LPC
- Priscilla Drew Souza, PHD LIC PSYCHOLOGIST
- Rhonda Frances Souza, MD
- Sovereign Home Health Services, Inc.
- William Sovic, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.