Active NPI
Rebecca Lynne Eary, DO
- Family Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S2576
- Practice address
- 5939 Harry Hines Blvd Ste 303
Dallas, TX 75390-2566 - Phone
- (214) 645-3900
- Fax
- (214) 645-3901
- NPI assigned
- Jun 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125056753 | IL | |
| Family Medicine Physician | 207Q00000X | S2576 | TX | Primary |
Addresses
Primary practice location
5939 Harry Hines Blvd Ste 303
Dallas, TX 75390-2566
Mailing address
1 Erie CT
Suite 6160
Oak Park, IL 60302-2566
Phone (708) 763-1490
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-130684 | Other | IL | IL MEDICAL LICENSE |
| 036-130684 | Medicaid | IL | |
| S2576 | Other | TX | TEXAS MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3030 Waterview Pkwy
Richardson, TX 75080-1400
Phone (972) 669-7070
Hospital & facility affiliations
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125056753 | IL | MD | Family Medicine Physician |
| S2576 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Illinois Pathology Associates, LTD. | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Locations
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
5939 Harry Hines Blvd
Ste 303
Dallas, TX 75235
Phone (214) 645-3900
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
400 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 288-9700
600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- rebecca.eary.1@18564.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Pediatrics Physician
- Southlake, TX
- NPI 1275838732
-
- Clinical Pathology/Laboratory Medicine Physician
- Berwyn, IL
- NPI 1043501554
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1396972865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ERIE CT",
"address_2": "SUITE 6160",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022566",
"telephone_number": "708-763-1490",
"fax_number": "708-763-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5939 HARRY HINES BLVD STE 303",
"city": "DALLAS",
"state": "TX",
"postal_code": "753902566",
"telephone_number": "214-645-3900",
"fax_number": "214-645-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARY",
"first_name": "REBECCA",
"middle_name": "LYNNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2020-11-20",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125056753",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S2576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL MEDICAL LICENSE",
"identifier": "036-130684",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-130684",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "S2576",
"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 Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.