Individual provider Active NPI

Michael Truitt, MD

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1356497937
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M6431 Issued in TX
Practice address
122 W Colorado Blvd
Dallas, TX 75208-2382
Phone
(214) 947-6700
Fax
(214) 947-6701
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M6431 TX Primary

Addresses

Primary practice location

122 W Colorado Blvd
Dallas, TX 75208-2382

Mailing address

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700

Other practice location 1

221 W Colorado Blvd
Pav II Ste#425
Dallas, TX 75208-2363
Phone (214) 947-3231

Other identifiers 2

IdentifierTypeStateIssuer
8BV503OtherTXBLUE CROSS
186904202MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000671 TX Practitioner - General Surgery 0749373280 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Trauma Medical Group, PLLCGroup PAC ID 2769862044, 52 clinicians
Surgery Associates of NTX PLLCGroup PAC ID 7810219375, 50 clinicians

Practice addresses (Care Compare)

101 Rim Rd
Suite 300B
El Paso, TX 79902-3667
Phone (915) 263-7080

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4001 W 15St St
SE 340
Plano, TX 75093-5841
Phone (972) 202-7080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6431TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Trauma Medical Group, PLLC CurrentSince Dec 12, 2023 Accepting new patients
Surgery Associates of NTX, PLLC Surgery CurrentSince Jan 22, 2024 Accepting new patients
Surgery Associates of North Texas P a Surgery Current Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Surgery CurrentSince Sep 1, 2023 Accepting new patients
Physician Associates of Southwest Dallas Surgery CurrentSince Dec 1, 2014 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2023 Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

515 W Mayfield Rd
Ste 301
Arlington, TX 76014
Phone (682) 274-8350

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

100 E Alton Gloor Blvd
Ste 210
Brownsville, TX 78526
Phone (956) 350-7105

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555

221 W Colorado Blvd
Ste 425
Dallas, TX 75208
Phone (214) 942-3100

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

3537 S Interstate 35 E
Ste 200
Denton, TX 76210
Phone (940) 384-4595

10201 Gateway Blvd W
Ste 130
El Paso, TX 79925
Phone (915) 594-1000

101 Rim Rd
Ste 300B
El Paso, TX 79902
Phone (915) 263-7080

1325 Pennsylvania Ave
Ste 690
Fort Worth, TX 76104
Phone (817) 761-7740

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

4510 Medical Center Dr
Ste 301
McKinney, TX 75069
Phone (469) 608-4980

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

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

4001 W 15th St
Ste 340
Plano, TX 75093
Phone (972) 202-7080

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Organizations & group practices 10

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 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1356497937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082382",
            "telephone_number": "214-947-6700",
            "fax_number": "214-947-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082382",
            "telephone_number": "214-947-6700",
            "fax_number": "214-947-6701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W Colorado Blvd",
            "address_2": "Pav II Ste#425",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082363",
            "country_code": "US",
            "telephone_number": "214-947-3231",
            "fax_number": "214-947-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUITT",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M6431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8BV503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186904202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.