Individual provider Active NPI

Jack Lester Schwade, M.D.

  • Cardiovascular Disease Physician
  • Dallas, TX
National Provider Identifier
1245317742
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D3394 Issued in TX
Practice address
7777 Forest LN
Suite C339
Dallas, TX 75230-2571
Phone
(972) 566-8855
Fax
(972) 566-7509
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D3394 TX Primary

Addresses

Primary practice location

7777 Forest LN
Suite C339
Dallas, TX 75230-2571

Mailing address

7777 Forest LN
Suite C339
Dallas, TX 75230-2571
Phone (972) 566-8855

Other identifiers 3

IdentifierTypeStateIssuer
099892405MedicaidTX
099892404MedicaidTX
099892401MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JACK.SCHWADE@hca7.eclinicaldirectplus.com

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
I20080710000655 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214009083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Specialists of North Texas PLLCGroup PAC ID 1456535624, 69 clinicians

Practice addresses (Care Compare)

1100 Allied Dr
Plano, TX 75093-5348
Phone (972) 566-8855

11970 N Central Expy
Dallas, TX 75243-3768

11970 N Central Expy
Suite 300
Dallas, TX 75243-3787
Phone (972) 566-8855

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
68.07
Promoting interoperability
99
Improvement activities
40
Cost
74.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of North Texas, PLLC CurrentSince Jul 28, 2014 Accepting new patients

Locations

7777 Forest Ln
Ste C339
Dallas, TX 75230
Phone (469) 608-4980

11970 N Central Expy
Ste 300
Dallas, TX 75243
Phone (972) 942-8839

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1245317742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C339",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-8855",
            "fax_number": "972-566-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C339",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-8855",
            "fax_number": "972-566-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWADE",
        "first_name": "JACK",
        "middle_name": "LESTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "D3394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099892405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099892404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099892401",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JACK.SCHWADE@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7777 Forest Ln",
            "address_2": "SUITE C339",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752302571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.