Individual provider Active NPI

Timothy P Dao, MD

  • Internal Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1174526560
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3568 Issued in TX
Practice address
845 Desco LN
Grand Prairie, TX 75051-1685
Phone
(817) 465-4141
Fax
(855) 862-9350
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3568 TX Primary

Addresses

Primary practice location

845 Desco LN
Grand Prairie, TX 75051-1685

Mailing address

845 Desco LN
Grand Prairie, TX 75051-1685
Phone (817) 465-4141

Other identifiers 1

IdentifierTypeStateIssuer
195138601MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000571 TX Practitioner - Internal Medicine 2860490752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Premier Health Clinic PAGroup PAC ID 7517965783, 2 clinicians

Practice addresses (Care Compare)

501 Rita LN
Suite 105
Arlington, TX 76014-2010
Phone (817) 465-4141

Hospital & facility affiliations

  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Medical City Plano Hospital, Plano, TX, CCN 450651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K3568TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Premier Health Clinic PA Internal Medicine CurrentSince May 8, 2017 Accepting new patients

Locations

501 Rita Ln
Ste 109
Arlington, TX 76014
Phone (817) 465-4141

501 Rita Ln
Ste 105
Arlington, TX 76014
Phone (817) 375-1400

501 Rita Ln
Arlington, TX 76014

Interoperability endpoints

  • Direct secure messaging: timothy.dao@aphcmdao.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBJAD/Endpoint/IHBJAD

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1174526560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 DESCO LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511685",
            "telephone_number": "817-465-4141",
            "fax_number": "855-862-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 DESCO LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511685",
            "telephone_number": "817-465-4141",
            "fax_number": "855-862-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195138601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.