Individual provider Active NPI

Emily Dewar Verst, MD

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1427611359
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T2853 Issued in TX
Practice address
6401 Harris Pkwy Ste 100
Fort Worth, TX 76132-6100
Phone
(817) 346-2525
Fax
(817) 294-1692
NPI assigned
Apr 16, 2019
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X T2853 TX Primary
Pediatrics Physician 208000000X BP10066851 TX

Addresses

Primary practice location

6401 Harris Pkwy Ste 100
Fort Worth, TX 76132-6100

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

Other names 1

  • Emily Elizabeth Dewar Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edewar185063@CookChildrens.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808002231 TX Practitioner - Pediatric Medicine 3678955655 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10066851TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network Pediatrics CurrentSince Aug 15, 2022 Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Aug 15, 2022 Accepting new patients
Cook Children's Medical Center Past Accepting new patients

Locations

6401 Harris Pkwy
Ste 100
Fort Worth, TX 76132
Phone (817) 346-2525

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

Interoperability endpoints

  • Direct secure messaging: edewar185063@cookchildrens.direct-ci.com

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1427611359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 HARRIS PKWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326100",
            "telephone_number": "817-346-2525",
            "fax_number": "817-294-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERST",
        "first_name": "EMILY",
        "middle_name": "DEWAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T2853",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10066851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edewar185063@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "6401 Harris Pkwy Ste 100",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761326100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "DEWAR",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.