Individual provider Active NPI

Elisa Muniz, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1376722470
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q2028 Issued in TX
Practice address
Baylor University Medical Center
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(214) 361-2152
NPI assigned
Oct 25, 2007
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37690 AZ
Obstetrics & Gynecology Physician 207V00000X Q2028 TX Primary

Addresses

Primary practice location

Baylor University Medical Center
3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

10115 Hedgeway Drive
Dallas, TX 75229-7309
Phone (480) 282-7081

Other identifiers 1

IdentifierTypeStateIssuer
272397MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalists of Texas, P.a. Obstetrics & Gynecology CurrentSince Aug 2, 2020 Accepting new patients
Em Muniz MD PLLC Obstetrics & Gynecology Current Accepting new patients
Texas Health Presbyterian Hospital Dallas Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

4224 Swiss Ave
Dallas, TX 75204
Phone (214) 821-9938

6125 Luther Ln
Dallas, TX 75225
Phone (214) 821-9938

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1376722470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 HEDGEWAY DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752297309",
            "telephone_number": "480-282-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYLOR UNIVERSITY MEDICAL CENTER",
            "address_2": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-361-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "ELISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "37690",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q2028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272397",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.