Dallas Physician Medical Services for Children Inc
Organization Active NPI Pediatrics Physician · Dallas, TX
NPI 1194153650 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1194153650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN INC
- Practice address
- 1935 Medical District Dr
Dallas, TX 75235-7701 - Phone
- (214) 456-7000
- NPI assigned
- Oct 21, 2013
- Organization subpart
- No
Authorized official
- Name
- Adam Melton
- Title
- SVP Physician Organization
- Phone
- (214) 456-0039
Other NPIs on the same Medicare enrollment 1
Practitioners 468
-
Osama Aboul-Fettouh, M.D.
-
Mohammed Iqbal Ahmed, M.D.
-
Sapan Amin, M.D.
-
Fabien Arous, MD
-
Rhae Battles, M.D.
-
Neethu Kumar Chandran, M.D.
-
Lee M Clintsman, CAA
-
Steven Craig Copenhaver, M.D.
-
Alissa Dawn Zastrow Doll, M.D.
-
Proshad Nemati Efune, M.D.
-
Bryce Foster, MD
-
Tally Goldfarb, MD
-
Alicia Nicole Harding, RN, FNP-C
-
Amy J Hogge, MD
-
Gwen N Hughes, CRNA
-
Shahid Hussain, MD
-
Aveline Jerome, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150305000673 | TX | Part B Supplier - Clinic/Group Practice | 1759607906 |
Receives reassigned benefits from 462 practitioners 1 other NPI on this enrollment |
National Provider Directory
Locations
4927 S Collins St
Ste 101
Arlington, TX 76018
Phone (817) 465-7764
3127 College St
Beaumont, TX 77701
Phone (409) 899-1433
2350 N Stemmons Fwy
Ste F2400
Dallas, TX 75207
Phone (469) 488-7100
1935 Medical District Dr
Stop ST808
Dallas, TX 75235
11301 Fallbrook Dr
Ste 110
Houston, TX 77065
Phone (281) 955-9195
2217 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 303-8500
7211 Preston Rd
Ste 4900
Plano, TX 75024
Phone (469) 303-8440
1300 Childrens Way
Ste 130
Prosper, TX 75078
Phone (469) 303-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | |||
| Allergy & Immunology Physician |
207K00000X | |||
| Anesthesiology Physician |
207L00000X | |||
| Hospice and Palliative Medicine (Anesthesiology) Physician |
207LH0002X | |||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | |||
| Pediatrics Physician |
208000000X | Yes | ||
| Pediatric Cardiology Physician |
2080P0202X | |||
| Pediatric Pulmonology Physician |
2080P0214X | |||
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X | |||
| Interventional Pain Medicine Physician |
208VP0014X |
Addresses
Primary practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 554199 | Other | TX | MEDICARE |
| 393968 | Other | TX | MEDICARE |
| 404548 | Other | TX | MEDICARE |
Other names
- Children's Health Medical Group
Other providers in Dallas, TX
- Dallas Pediatric Neurology Assoc
- Dallas Pediatric Neurosurgery Specialists, PLLC
- Dallas Pediatrics and Children'S Healthcare, P.a.
- Dallas Physical Performance Center
- Dallas Physical Therapy Center
- Dallas Physician Medical Services for Children Inc
- Dallas Physician Medical Services for Children Inc
- Dallas Plastic and Reconstructive Surgery Associates, PLLC
- Dallas Plastic Surgery Institute Management, PA
- Dallas Podiatry Works PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.