Organization Active NPI

Relda J. Setliff, M.D. ,P.a.

  • Preferred Provider Organization
  • Dallas, TX
National Provider Identifier
1366693319
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
G5657-1 Issued in TX
Legal business name
RELDA J. SETLIFF, M.D. ,P.A.
Practice address
5959 Harry Hines Blvd
Suite 1104
Dallas, TX 75235-6233
Phone
(214) 630-5191
Fax
(214) 688-1136
NPI assigned
Oct 8, 2008
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Dr. Relda Jeanne Setliff, MD, PANPI 1225012206
Title
Doctor
Phone
(214) 630-5191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X G5657-1 TX Primary

Addresses

Primary practice location

5959 Harry Hines Blvd
Suite 1104
Dallas, TX 75235-6233

Mailing address

1420 W Mockingbird LN Ste 470
Dallas, TX 75247-4931
Phone (214) 630-5191

Other identifiers 1

IdentifierTypeStateIssuer
143408601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090123000086 TX Part B Supplier - Clinic/Group Practice 7416011259 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

1420 W Mockingbird Ln
Ste 470
Dallas, TX 75247
Phone (214) 630-5191

5959 Harry Hines Blvd
Ste 1104
Dallas, TX 75235
Phone (214) 630-5191

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1366693319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W MOCKINGBIRD LN STE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474931",
            "telephone_number": "214-630-5191",
            "fax_number": "214-688-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "SUITE 1104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356233",
            "telephone_number": "214-630-5191",
            "fax_number": "214-688-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELDA J. SETLIFF, M.D. ,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "SETLIFF",
        "authorized_official_first_name": "RELDA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-630-5191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "G5657-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143408601",
            "state": "TX"
        }
    ],
    "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 Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.