Active NPI
Suzanne Yuri Wada, MD
- Infectious Disease Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- K2621
- Practice address
- 3409 Worth St Ste 710
Dallas, TX 75246-2060 - Phone
- (214) 823-2533
- NPI assigned
- Apr 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | K2621 | TX | Primary |
Addresses
Primary practice location
3409 Worth St Ste 710
Dallas, TX 75246-2060
Mailing address
3409 Worth St Ste 710
Dallas, TX 75246-2060
Phone (214) 823-2533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046975101 | Medicaid | TX |
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
- Infectious Disease
- Education
- Temple University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2377 N Stemmon Fwy 263
Dallas County Health Human Services
Dallas, TX 75207-2710
Phone (214) 819-1865
2377 N Stemmons Fwy
Suite 263
Dallas, TX 75207-2710
2377 N Stemmons Fwy 502
Dallas County Health Human Services
Dallas, TX 75207-2710
Phone (214) 819-2023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Infectious Diseases Consultants | Current | Accepting new patients | |
| County of Dallas | Current | Accepting new patients | |
| North Texas Infectious Disaeases Consultants, PA | Current | Accepting new patients |
Locations
2377 N Stemmons Fwy
Ste 263
Dallas, TX 75207
Phone (214) 819-1865
3409 Worth St
Ste 710
Dallas, TX 75246
Phone (214) 823-2533
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60208
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.
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- Specialist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1427012152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 WORTH ST STE 710",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462060",
"telephone_number": "214-823-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 WORTH ST STE 710",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462060",
"telephone_number": "214-823-2533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADA",
"first_name": "SUZANNE",
"middle_name": "YURI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "K2621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046975101",
"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 8, 2018; 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.