Individual provider Active NPI

Iris Nadia McColm, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1508505892
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15906 Issued in TX
Practice address
12801 Midway Rd Ste 503
Dallas, TX 75244-6303
Phone
(972) 243-3304
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA15906 TX Primary

Addresses

Primary practice location

12801 Midway Rd Ste 503
Dallas, TX 75244-6303

Mailing address

8213 Meadow Rd Apt 2404
Dallas, TX 75231-3838
Phone (214) 995-6179

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030002566 TX Practitioner - Physician Assistant 5597111310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Specialists of North Texas,PLLCGroup PAC ID 2062690936, 5 clinicians

Practice addresses (Care Compare)

11970 N Central Expy
Medical City Heart Hospital
Dallas, TX 75243-3768
Phone (972) 940-8000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (972) 566-8855

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-8855

7777 Forest LN
Suite A307
Dallas, TX 75230-2533
Phone (972) 566-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15906TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: iris.mccolm@hca7.eclinicaldirectplus.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 2

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1508505892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8213 MEADOW RD APT 2404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313838",
            "telephone_number": "214-995-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 MIDWAY RD STE 503",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446303",
            "telephone_number": "972-243-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLM",
        "first_name": "IRIS",
        "middle_name": "NADIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.