Individual provider Active NPI

Dale D Burleson, MD

  • Colon & Rectal Surgery Physician
  • Plano, TX
National Provider Identifier
1366473092
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
H9830 Issued in TX
Practice address
4708 Alliance Blvd
Suite 770
Plano, TX 75093-5340
Phone
(972) 526-0910
Fax
(972) 526-0913
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X H9830 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd
Suite 770
Plano, TX 75093-5340

Mailing address

16980 Dallas Pkwy Ste 200
Dallas, TX 75248-1974
Phone (214) 343-8565

Other identifiers 2

IdentifierTypeStateIssuer
120590805MedicaidTX
120590806MedicaidTX

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
I20040614001304 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6507840048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Texas a & M University System, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

3535 Victory Group Way
Suite 330
Frisco, TX 75034-0310
Phone (972) 526-0910

4201 Brown TRL
Suite 101
Colleyville, TX 76034-3941
Phone (682) 217-2102

7110 Preston Rd
Suite 200
Plano, TX 75024-3412
Phone (972) 526-0910

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Allen, TX, CCN 457789
  • Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9830TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Mar 1, 2021 Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2021 Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7777 Forest Ln
Ste A321
Dallas, TX 75230
Phone (972) 661-3575

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

3535 Victory Group Way
Ste 330
Frisco, TX 75034
Phone (214) 823-4800

1600 W College St
Ste 440
Grapevine, TX 76051
Phone (817) 481-9480

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4708 Alliance Blvd
Ste 770
Plano, TX 75093
Phone (214) 637-0640

4001 W 15th St
Ste 280
Plano, TX 75093
Phone (972) 985-7988

7110 Preston Rd
Ste 200
Plano, TX 75024
Phone (972) 526-0910

Interoperability endpoints

  • Direct secure messaging: dale.burleson.1@421.direct.athenahealth.com

Organizations & group practices 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1366473092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16980 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481974",
            "telephone_number": "214-343-8565",
            "fax_number": "214-342-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 770",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "972-526-0910",
            "fax_number": "972-526-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "DALE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "H9830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120590805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120590806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.