Active NPI
Luis Palacios, MD
- Adult Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- H0710
- Practice address
- 6243 Retail Rd
Dallas, TX 75231-7808 - Phone
- (469) 518-5580
- Fax
- (844) 859-8966
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | H0710 | TX | Primary |
Addresses
Primary practice location
6243 Retail Rd
Dallas, TX 75231-7808
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-0624
Other practice location 1
6333 E Mockingbird Ln
Suite 126
Dallas, TX 75214-2692
Phone (214) 826-6005
Other practice location 2
9255 Dallas Pkwy # 120
Frisco, TX 75033-4210
Phone (469) 518-5580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8K0726 | Other | TX | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6243 Retail Rd
Dallas, TX 75231-7844
Phone (469) 436-3901
Hospital & facility affiliations
- Baylor University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0710 | TX | MD | Adult Medicine Physician |
Interoperability endpoints
- luis.palacios.p62@direct.tenet.nextgenshare.com
- luis.palacios.1@20514.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1922654003
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1487614392",
"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",
"telephone_number": "214-645-0624",
"fax_number": "214-645-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6243 RETAIL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752317808",
"telephone_number": "469-518-5580",
"fax_number": "844-859-8966"
}
],
"practiceLocations": [
{
"address_1": "6333 E Mockingbird Ln",
"address_2": "Suite 126",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752142692",
"country_code": "US",
"telephone_number": "214-826-6005",
"fax_number": "214-826-6012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9255 Dallas Pkwy # 120",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750334210",
"country_code": "US",
"telephone_number": "469-518-5580",
"fax_number": "855-830-8074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALACIOS",
"first_name": "LUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "H0710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8K0726",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.