NPIMap

Individual provider Active NPI

Yasser Etman, MD

  • Pulmonary Disease Physician
  • Dallas, TX
National Provider Identifier
1295949980
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
S3900 Issued in TX
Practice address
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone
(214) 960-5681
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35.124210 OH
Hospitalist Physician 208M00000X MD436964 PA
Hospitalist Physician 208M00000X 2008013989 MO
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X S3900 TX Primary
Internal Medicine Physician 207R00000X MD436964 PA
Internal Medicine Physician 207R00000X 2008013989 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X S3900 TX

Addresses

Primary practice location

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312

Mailing address

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone (214) 960-5681

Other practice location 1

400 Matthew St
Suite 305
Marietta, OH 45750-1644
Phone (740) 568-5662

Other practice location 2

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5864

Other identifiers 4

IdentifierTypeStateIssuer
3810027770MedicaidWV
P01455055OtherOHRAILROAD MEDICARE - MHCPI
0107375MedicaidOH
1024117880001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103001347 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6204901937 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dallas Lung CareGroup PAC ID 8426441049, 3 clinicians

Practice addresses (Care Compare)

2504 Ridge Rd
Suite 206
Rockwall, TX 75087-2571
Phone (469) 626-1577

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
  • Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060
  • Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292
  • White Rock Medical Center Hospital, Dallas, TX, CCN 450678
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Mesquite Rehabilitation Institute Inpatient rehabilitation facility, Mesquite, TX, CCN 673045
  • Mesquite Specialty Hospital Long-term care hospital, Mesquite, TX, CCN 452100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.124210OHMDPulmonary Disease Physician
MD436964PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jun 13, 2022 Accepting new patients
Dallas Pulmonary & Critical Care PA Critical Care Medicine CurrentSince Nov 24, 2020 Accepting new patients
Dallas Lung Care Internal Medicine CurrentSince Nov 18, 2021 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jun 13, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince May 1, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2504 Ridge Rd
Ste 206
Rockwall, TX 75087
Phone (214) 304-7669

7501 Lakeview Pkwy
Ste 245
Rowlett, TX 75088
Phone (469) 626-1577

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: yetman1664647@direct.texashealth.org

Organizations & group practices 9

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1295949980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082312",
            "telephone_number": "214-960-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082312",
            "telephone_number": "214-960-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Matthew St",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501644",
            "country_code": "US",
            "telephone_number": "740-568-5662",
            "fax_number": "740-568-5672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETMAN",
        "first_name": "YASSER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.124210",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD436964",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2008013989",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "S3900",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD436964",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2008013989",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "S3900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810027770",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - MHCPI",
            "identifier": "P01455055",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107375",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024117880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.