Individual provider Active NPI

David A Slater, MD

  • Adult Medicine Physician
  • Little Elm, TX
National Provider Identifier
1477526994
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
L1202 Issued in TX
Practice address
1395 E Eldorado Pkwy Ste 400
Little Elm, TX 75068-5508
Phone
(469) 200-5974
Fax
(469) 200-5214
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X L1202 TX Primary
Family Medicine Physician 207Q00000X L1202 TX

Addresses

Primary practice location

1395 E Eldorado Pkwy Ste 400
Little Elm, TX 75068-5508

Mailing address

1395 E Eldorado Pkwy Ste 400
Little Elm, TX 75068-5508
Phone (469) 200-5974

Other identifiers 2

IdentifierTypeStateIssuer
184671904MedicaidTX
184671901MedicaidTX

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
I20070104000441 TX Practitioner - Family PracticePractitioner - General Practice 2567462161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1202TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

8100 John W Carpenter Fwy
Ste 150
Dallas, TX 75247
Phone (972) 672-4895

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

1395 E Eldorado Pkwy
Ste 400
Little Elm, TX 75068
Phone (469) 200-5974

Interoperability endpoints

  • Direct secure messaging: dslater@wdf-tx.direct.office.nextgen.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1477526994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E ELDORADO PKWY STE 400",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685508",
            "telephone_number": "469-200-5974",
            "fax_number": "469-200-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E ELDORADO PKWY STE 400",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685508",
            "telephone_number": "469-200-5974",
            "fax_number": "469-200-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "L1202",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184671904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184671901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

Verify at the official NPI Registry.