Active NPI
Kallene Summer Moreira Vidal, MD,PHD
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1497604938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 48643
- Practice address
- 1430 Empire Central Dr
Dallas, TX 75247-4032 - Phone
- (214) 645-8500
- Fax
- (214) 648-3775
- NPI assigned
- Jan 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 48643 | TX | Primary |
Addresses
Primary practice location
1430 Empire Central Dr
Dallas, TX 75247-4032
Mailing address
3440 Rankin St Apt B
Dallas, TX 75205-1288
Phone (214) 648-3775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5323 Harry Hines Blvd
Dallas, TX 75390-7208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48643 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1497604938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 RANKIN ST APT B",
"city": "DALLAS",
"state": "TX",
"postal_code": "752051288",
"telephone_number": "214-648-3775",
"fax_number": "214-648-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 EMPIRE CENTRAL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474032",
"telephone_number": "214-645-8500",
"fax_number": "214-648-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMER MOREIRA VIDAL",
"first_name": "KALLENE",
"name_prefix": "Prof.",
"credential": "MD,PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "48643",
"primary": true
}
],
"identifiers": [],
"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 Jan 28, 2026; 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.