Active NPI
Niels-Jorgen Dyrved, MD
- Anatomic Pathology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- TEMPORARY
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7208 - Phone
- (214) 645-0624
- Fax
- (214) 645-0078
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | TEMPORARY | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-0624
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Southwestern Medical School at Dallas, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-8181
1500 S Dallas Pkwy
Celina, TX 75009-3495
Phone (214) 947-8181
17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (972) 361-8058
2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000
2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 204-1000
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7777
Hospital & facility affiliations
- Methodist Charlton Medical Center
- Methodist Mansfield Medical Center
- Methodist Dallas Medical Center
- Methodist Richardson Medical Center
- Methodist Midlothian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.85 of 100
- Quality
- 72.17
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratory Physicians Association | Current | Accepting new patients | |
| Laboratory Physicians Association | Current | Accepting new patients | |
| Surgical Pathologists of Dallas | Past | Accepting new patients | |
| Prism Pathology LLC | Past | Accepting new patients |
Locations
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1457381352
-
- Anatomic Pathology & Clinical Pathology Physician
- McKinney, TX
- NPI 1366773152
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1801181656
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1659332666
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Richardson Medical Center
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
-
dba Methodist Charlton Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
dba Methodist Midlothian Medical Center
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
-
dba Methodist Mansfield Medical Center
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255461349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347",
"telephone_number": "214-645-0624",
"fax_number": "214-645-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907208",
"telephone_number": "214-645-0624",
"fax_number": "214-645-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYRVED",
"first_name": "NIELS-JORGEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TX",
"license": "TEMPORARY",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.