Legacy Heart Care of North Dallas, LLC
Organization Active NPI Cardiovascular Disease Physician · Dallas, TX
NPI 1265150205 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1265150205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- LEGACY HEART CARE OF NORTH DALLAS, LLC
- Practice address
- 7515 Greenville Ave Ste 1010
Dallas, TX 75231-3858 - Phone
- (469) 283-3300
- Fax
- (817) 423-8080
- NPI assigned
- Aug 16, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- LEGACY HEART CARE, LLC
Authorized official
- Name
- Michael Gratch
- Title
- President
- Phone
- (817) 423-4400
Practitioners 47
-
Susie Kim Ahn, FNP
-
Kristen Noel Kosarek, CNP FNP-BC
-
Amber Elizabeth Machala, APRN, FNP-C
-
Lilly Michael, PA-C
-
Ashesh Bakulesh Parikh, D.O.
-
Tiphany Price, RN, BSN, ACNP-BC
-
Kelly A Walker, MSN, APRN, FNP-C
-
Jessica Beth Buie, FNP
-
Scott David Carlsen, AGANP-BC
-
Mary Rossby Concepcion Uy, FNP-C
-
Kathlean Cooley-Ponds, ACNS-BC
-
Timothy Duy Dao, M.D.
-
Valarian Flores, FNP-C
-
Nhi Graves, APRN
-
Cecily Hanna, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230208001060 | TX | Part B Supplier - Clinic/Group Practice | 9931571544 |
Receives reassigned benefits from 39 practitioners Practice locations: Dallas, TX |
National Provider Directory
- Part of
- Legacy Heart Care LLC
Locations
7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
7515 Greenville Ave Ste 1010
Dallas, TX 75231-3858
Mailing address
2500 West Fwy Ste 200
Fort Worth, TX 76102-5851
Phone (817) 423-4400
Other names
- Flow Therapy North Dallas
Other providers in Dallas, TX
- Legacy Chiropractic and Sports Medicine
- Legacy Counseling Center Inc
- Legacy Dental of East Dallas, PLLC
- Legacy Dental of Glen Oaks
- Legacy Dental of Mesquite PLLC
- Legacy Heart Clinic, LLC
- Legacy Infusions and Injections LLC
- Legacy Injury Care
- Legacy Speech Group PLLC
- Legacy Women'S Clinic,PLLC
All providers in Dallas, TX · Cardiovascular Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. 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.