Individual provider Active NPI

Luis Palacios, MD

  • Adult Medicine Physician
  • Dallas, TX
National Provider Identifier
1487614392
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
H0710 Issued in TX
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

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8K0726OtherTXMEDICARE

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
I20050113000138 TX Practitioner - Family PracticePractitioner - Sports Medicine 1557310927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Texas Medical Branch at Galveston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sinsote Medical Care PLLCGroup PAC ID 8628308111, 2 clinicians

Practice addresses (Care Compare)

6243 Retail Rd
Dallas, TX 75231-7844
Phone (469) 436-3901

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0710TXMDAdult Medicine Physician

Interoperability endpoints

  • Direct secure messaging: luis.palacios.p62@direct.tenet.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.