Todd Anthony Mastrovitch, MD

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

License

U7238 Issued in TX

Practice address

7777 Forest Lane
Medical City Dallas Hospital
Dallas, TX 75230

Phone

(972) 566-7000

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Questcare Medical Services, PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1912059247
  Medicare reassignment NPD
• Southern Bank Emergency Physicians LLC

  • Emergency Medicine Physician
  • New Brunswick, NJ
  • NPI 1629205844
  Medicare reassignment NPD
• Rwjbh Associates 2, LLC

  • Multi-Specialty Clinic/Center
  • New Brunswick, NJ
  • NPI 1114554532
  Medicare reassignment
• Questcare Medical Services PLLC

  • Emergency Medicine Physician
  • Plano, TX
  • NPI 1164574489
  NPD
• Questcare Medical Services, PLLC

  • Nurse Practitioner
  • Arlington, TX
  • NPI 1497807713
  NPD
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Long Branch, NJ
  • NPI 1841456068
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1477620698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "MEDICAL CITY DALLAS HOSPITAL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-566-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "MEDICAL CITY DALLAS HOSPITAL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-566-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROVITCH",
        "first_name": "TODD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "239158",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "U7238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Leigh Masterson
• Panagiotis Mastorakos, M.D.
• Francis Michael Mastrangelo, CRNA
• Andrew Jones Mastro, MD
• Amanda Rose Mastropietro, M.S.ED C-F, SLP
• Maimuna Masud
• Wendy Mata Ramirez
• Emily Mata, PHARMD
• Jeanette Nicole Mata
• Nina Desiree Mata

• Pediatric Emergency Medicine (Pediatrics) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Emergency Medicine (Pediatrics) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.