NPIMap

Organization Active NPI

Dallas County Hospital District

  • Internal Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1194090001
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DALLAS COUNTY HOSPITAL DISTRICT
Practice address
801 Conover Dr
Grand Prairie, TX 75051-1519
Phone
(214) 266-3400
NPI assigned
Mar 12, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Frederick Cerise
Title
President and Ceo
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) 23

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

View all 23

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

Practitioners 11

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Parkland Health & Hospital SystemCCN 450015
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

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

Hospital certification: CCN 450015

Medicare enrollment files
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
OtherNon-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

Medicare enrollment files

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 OfficerChief Executive Officer Mar 24, 2014 100%
Operational/Managerial ControlPresident Chief Executive Office Mar 24, 2014
Gerry Baker Individual Corporate DirectorSr VP Revenue Cycle Apr 29, 2021
W-2 Managing EmployeeSr 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 EmployeeProvider Enrollment Program Mana Oct 13, 2020

National Provider Directory

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

Specialties & licenses 9

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X

Addresses

NPPES NPI Registry

Primary practice location

801 Conover Dr
Grand Prairie, TX 75051-1519

Mailing address

PO Box 660599
Dallas, TX 75266-0599

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
304256601MedicaidTX
304256602MedicaidTX

Other names 1

NPPES NPI Registry
  • E. Carlyle Smith, Jr. Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2022.

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1194090001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CONOVER DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511519",
            "telephone_number": "214-266-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "CERISE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "214-590-8006"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304256601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304256602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E. Carlyle Smith, Jr. Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.