Active NPI
Daniel Kalman Podolsky, M.D.
- Gastroenterology Physician
- Dallas, TX
National Provider Identifier
1316929375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 42347
- Practice address
- 1801 Inwood Road,
6TH Floor, Suite 102
Dallas, TX 75390 - Phone
- (214) 645-0595
- Fax
- (214) 645-0581
- NPI assigned
- Nov 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 45936 | MA | |
| Gastroenterology Physician | 207RG0100X | 42347 | TX | Primary |
Addresses
Primary practice location
1801 Inwood Road,
6TH Floor, Suite 102
Dallas, TX 75390
Mailing address
5323 Harry Hines Boulevard
(B12.100)
Dallas, TX 75390-9002
Phone (214) 648-2508
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #8BQ932 | Other | TX | BLUE CROSS/BLUE SHIELD OF TEXAS |
| 0152579 | Medicaid | MA | |
| 045936 | Other | MA | TUFTS HEALTH PLAN |
| E05681 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45936 | MA | MD | Gastroenterology Physician |
| 42347 | TX | MD | Speech-Language Pathologist |
Interoperability endpoints
- daniel.podolsky@direct.swmed.us
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261612800000",
"number": "1316929375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BOULEVARD",
"address_2": "(B12.100)",
"city": "DALLAS",
"state": "TX",
"postal_code": "753909002",
"telephone_number": "214-648-2508",
"fax_number": "214-648-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 INWOOD ROAD,",
"address_2": "6TH FLOOR, SUITE 102",
"city": "DALLAS",
"state": "TX",
"postal_code": "75390",
"telephone_number": "214-645-0595",
"fax_number": "214-645-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODOLSKY",
"first_name": "DANIEL",
"middle_name": "KALMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2009-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "45936",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "42347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD OF TEXAS",
"identifier": "#8BQ932",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0152579",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "045936",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "E05681",
"state": "MA"
}
],
"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 Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.