Individual provider Active NPI

Taemee Pak, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1467870329
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S1885 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 645-2717
NPI assigned
Mar 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X S1885 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

PO Box 845347
Dallas, TX 75284-5347

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
I20200807000005 TX Practitioner - Diagnostic Radiology 1254683204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

139 Manchester LN
Coppell, TX 75019-6426
Phone (855) 504-4544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 20, 2020 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jul 5, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 20, 2020 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 6, 2024 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jul 5, 2023 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jul 5, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jul 5, 2023 Accepting new patients
Austin Radiological Association CurrentSince Jul 1, 2023 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations (25 of 43)

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

4207 Burnet Rd
Austin, TX 78756
Phone (512) 346-2261

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

1601 Trinity St
Stop A
Austin, TX 78712
Phone (512) 232-7347

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1467870329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-645-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "TAEMEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.