Individual provider Active NPI

Gary David Lefkof, M.D.

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1356570253
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G2177 Issued in TX
Practice address
9708 Skillman St
Dallas, TX 75243-5150
Phone
(214) 221-5433
NPI assigned
Jul 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G2177 TX Primary

Addresses

Primary practice location

9708 Skillman St
Dallas, TX 75243-5150

Mailing address

7707 Woodstone LN
Dallas, TX 75248-5349
Phone (972) 385-8655

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
I20091104000721 TX Practitioner - Psychiatry 9537207949 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Southwestern Medical School at Dallas, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakes Regional Mental Health Mental Retardation CenterGroup PAC ID 9739175225, 18 clinicians

Practice addresses (Care Compare)

1300 W 16TH St
Mt Pleasant, TX 75455-2046
Phone 97252441591183

400 Airport Rd
Terrell, TX 75160-4302
Phone 97252441591183

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry CurrentSince Jan 1, 2019 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry Current Accepting new patients
The Gulf Coast Center Psychiatry CurrentSince Nov 1, 2015 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jan 1, 2019 Accepting new patients
Lakes Regional Mental Health Mental Retardation Center CurrentSince Nov 5, 2015 Accepting new patients
Burke Center Psychiatry CurrentSince Nov 20, 2015 Accepting new patients

Locations

805 N 5th St
Alpine, TX 79830
Phone (432) 837-3373

4444 W Main St
League City, TX 77573

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

1300 W 16th St
Mt Pleasant, TX 75455
Phone (972) 524-4159

400 Airport Rd
Terrell, TX 75160
Phone (972) 524-4159

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1356570253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 WOODSTONE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752485349",
            "telephone_number": "972-385-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435150",
            "telephone_number": "214-221-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKOF",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G2177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.