Individual provider Active NPI

David James Mendelson, M.D.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1295793610
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD61005307 Issued in WA
Practice address
3500 Gaston Ave
Dallas, TX 75246-2096
Phone
(214) 820-2501
Fax
(214) 820-4618
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD61005307 WA Primary
Emergency Medicine Physician 207P00000X K1874 TX

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2096

Mailing address

PO Box 41633
Philadelphia, PA 19101-1633
Phone (800) 355-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, LA, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040424000439 TX Practitioner - Emergency MedicinePractitioner - Family Practice 8123014024 Reassigns benefits to 5 organizations
I20180912002402 OK Practitioner - Emergency Medicine 8123014024 Reassigns benefits to 2 organizations
I20191217000368 LA Practitioner - Emergency Medicine 8123014024 Reassigns benefits to 1 organization
I20200319001420 WA Practitioner - Emergency Medicine 8123014024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians
Elite Hospital Partners of OklahomaGroup PAC ID 6800241225, 24 clinicians

Practice addresses (Care Compare)

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (254) 879-4900

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1874TXMDEmergency Medicine Physician
MD61005307WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Louisiana Inc Emergency Medicine CurrentSince Oct 13, 2019 Accepting new patients
Ray Hubbard Emergency Physicians PLLC Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Feb 26, 2020 Accepting new patients
Innovative Emergency Physicians of Uptown Emergency Medicine CurrentSince Nov 15, 2024 Accepting new patients
Innovative Emergency Physicians of Frisco, PA Emergency Medicine CurrentSince Nov 15, 2014 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Lake Granbury Hospital-Based Professional Services Emergency Medicine CurrentSince Jan 15, 2026 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Ray Hubbard Emergency Physicians PLLC Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince Oct 13, 2019 Accepting new patients
Motley Emergency Physicians Emergency Medicine Past Accepting new patients
Emcare Iah Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Perc Emergency Physicians Emergency Medicine PastSince Oct 1, 2007 Accepting new patients
Trans Pecos Emergency Physicians Emergency Medicine Past Accepting new patients
Texas Em-I Medical Services, P.a. Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Chapel Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Lake Pointe Radiology Associates PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Dallas Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

6800 Scenic Dr
#1550
Rowlett, TX 75088
Phone (972) 412-2273

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1295793610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41633",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191011633",
            "telephone_number": "800-355-0808",
            "fax_number": "214-712-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462096",
            "telephone_number": "214-820-2501",
            "fax_number": "214-820-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61005307",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K1874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.