Individual provider Active NPI

Pamela Kathleen Capik, M.D.

  • Emergency Medicine Physician
  • Irving, TX
National Provider Identifier
1376733618
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
201103 Issued in LA
Practice address
1901 N Macarthur Blvd
Irving, TX 75061
Phone
(972) 579-8110
NPI assigned
Aug 1, 2007
Last updated
Jun 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 201103 LA Primary

Addresses

Primary practice location

1901 N Macarthur Blvd
Irving, TX 75061

Mailing address

1978 Industrial Blvd
Section of Emergency Medicine
Houma, LA 70363-7055
Phone (985) 873-2200

Other practice location 1

3321 S Cooper St
Arlington, TX 76015-2345
Phone (817) 224-2887

Other identifiers 1

IdentifierTypeStateIssuer
1073423MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080716000681 LA Practitioner - Emergency Medicine 6901979418 Reassigns benefits to 4 organizations
I20160111001394 TX Practitioner - Emergency Medicine 6901979418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

8200 Walnut Hill LN
Dallas, TX 75231-4496
Phone (214) 345-6789

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince May 20, 2008 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Nov 11, 2015 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jan 14, 2024 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Independence Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Jan 14, 2024 Accepting new patients
Foucher Emergency Group LLC Emergency Medicine CurrentSince Feb 2, 2013 Accepting new patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Apr 21, 2015 Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

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

3500 Gaston Ave
Dallas, TX 75246

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

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

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1376733618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "address_2": "SECTION OF EMERGENCY MEDICINE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-873-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75061",
            "telephone_number": "972-579-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3321 S Cooper St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152345",
            "country_code": "US",
            "telephone_number": "817-224-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPIK",
        "first_name": "PAMELA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "201103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073423",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.