Individual provider Active NPI

Tara A Dullye, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1437146230
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K4327 Issued in TX
Practice address
8160 Walnut Hill LN Ste 219
Dallas, TX 75231-4354
Phone
(214) 369-2400
Fax
(214) 369-7528
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K4327 TX Primary

Addresses

Primary practice location

8160 Walnut Hill LN Ste 219
Dallas, TX 75231-4354

Mailing address

P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8450

Other identifiers 1

IdentifierTypeStateIssuer
1693467MedicaidTX

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
I20050217000059 TX Practitioner - Obstetrics/Gynecology 3971555038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-2139

8160 Walnut Hill LN
Dallas, TX 75231-4354

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Feb 28, 2017 Accepting new patients
Texas Health Care, P.L.L.C. Obstetrics & Gynecology CurrentSince Feb 28, 2017 Accepting new patients
Texas Health Presbyterian Hospital Dallas Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

8160 Walnut Hill Ln
Ste 220
Dallas, TX 75231
Phone (214) 750-0980

8160 Walnut Hill Ln
Ste 219
Dallas, TX 75231
Phone (214) 369-2400

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

Interoperability endpoints

  • Direct secure messaging: tara.dullye.1@8042.direct.athenahealth.com
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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

Hospital & facility affiliations 3

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1437146230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN STE 219",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314354",
            "telephone_number": "214-369-2400",
            "fax_number": "214-369-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLYE",
        "first_name": "TARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K4327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1693467",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.