Individual provider Active NPI

Tate Alexander Grimes, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1477588200
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
K9553 Issued in TX
Practice address
8140 Walnut Hill LN
Suite 308
Dallas, TX 75231-4350
Phone
(214) 348-5557
Fax
(214) 348-5898
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9553 TX
Sleep Medicine (Family Medicine) Physician 207QS1201X K9553 TX Primary

Addresses

Primary practice location

8140 Walnut Hill LN
Suite 308
Dallas, TX 75231-4350

Mailing address

8140 Walnut Hill LN
Suite 308
Dallas, TX 75231-4350
Phone (214) 348-5557

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
I20050323000140 TX Practitioner - Sleep MedicinePractitioner - Family PracticePractitioner - Other (Physician) 8820043953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Family Practice
Education
University of Texas Medical School at Houston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness in Sleep PAGroup PAC ID 0749235877, 4 clinicians

Practice addresses (Care Compare)

908 W Terrell Ave N
Fort Worth, TX 76104-3034
Phone (817) 820-0427

908 W Terrell N Ave
Fort Worth, TX 76104-3034
Phone (817) 820-0427

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9553TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness in Sleep PA CurrentSince Jan 1, 2005 Accepting new patients
Fitstar Physical Therapy Past Accepting new patients
Texas Medical Diagnostic, Inc Past Accepting new patients

Locations

431 Omega Dr
Ste 102
Arlington, TX 76014

2125 Martin Dr
Ste 200
Bedford, TX 76021

8140 Walnut Hill Ln
Ste 308
Dallas, TX 75231
Phone (214) 348-5557

1341 W Mockingbird Ln
Ste 200W
Dallas, TX 75247
Phone (214) 638-4352

908 W Terrell Ave N
Ft Worth, TX 76104
Phone (214) 226-6619

910 W Terrell Ave N
Ft Worth, TX 76104
Phone (800) 633-2964

7500 Preston Rd
Ste 100
Plano, TX 75024

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1477588200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN",
            "address_2": "SUITE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314350",
            "telephone_number": "214-348-5557",
            "fax_number": "214-348-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN",
            "address_2": "SUITE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314350",
            "telephone_number": "214-348-5557",
            "fax_number": "214-348-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "TATE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9553",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "TX",
            "license": "K9553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.