Individual provider Active NPI

Lauren Danielle Ausama

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1194258780
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S2553 Issued in TX
Practice address
1222 N Bishop Ave Ste 300
Dallas, TX 75208-4176
Phone
(214) 941-1353
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Internal Medicine Physician 207R00000X S2553 TX Primary

Addresses

Primary practice location

1222 N Bishop Ave Ste 300
Dallas, TX 75208-4176

Mailing address

1222 N Bishop Ave
Dallas, TX 75208-4173
Phone (214) 941-1353

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
I20200727001662 TX Practitioner - Internal Medicine 9335563196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1222 N Bishop Ave
Suite 300
Dallas, TX 75208-4176
Phone (214) 941-1353

Hospital & facility affiliations

  • Adaptive Home Health Home health agency, Temple, TX, CCN 458194
  • Remarkable Hospice Hospice, Plano, TX, CCN 741640
  • Silverstone Hospice Hospice, Dallas, TX, CCN 671754
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2553TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Internal Medicine CurrentSince Aug 17, 2020 Accepting new patients
Medhealth CurrentSince Aug 17, 2020 Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

1222 N Bishop Ave
Ste 300
Dallas, TX 75208
Phone (214) 941-1353

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

Interoperability endpoints

  • Direct secure messaging: lausama129149@dm.mhd.com

Organizations & group practices 2

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 5

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1194258780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084173",
            "telephone_number": "214-941-1353",
            "fax_number": "214-941-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 N BISHOP AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084176",
            "telephone_number": "214-941-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSAMA",
        "first_name": "LAUREN",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.