NPIMap

Organization Active NPI

Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
National Provider Identifier
1528027786
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000255 Issued in TX
Legal business name
METHODIST HOSPITALS OF DALLAS
Practice address
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone
(214) 947-8181
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Craig Allen Bjerke
Title
Executive VP & Cfo
Phone
(214) 947-4512

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X 000255 TX Primary

Addresses

Primary practice location

1441 N Beckley Ave
Dallas, TX 75203-1201

Mailing address

PO Box 911875
Dallas, TX 75391-1875
Phone (214) 947-8181

Other identifiers 2

IdentifierTypeStateIssuer
135032403MedicaidTX
135032405MedicaidTX

Other names 1

  • Methodist Dallas Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030911000013 TX Part A Provider - Hospital 5294646451 Practice locations: Dallas, TX

Hospital certification: CCN 450051

Legal name
METHODIST HOSPITALS OF DALLAS
Doing business as
METHODIST DALLAS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 10, 2026
Beds
478
Ownership / control type
Other
Organization structure
OtherNon-profit
Incorporated
Apr 18, 1935 in TX
Enrollment address
1441 N Beckley Ave
Dallas, TX 75203-1201
Main/Primary Hospital Location
Hospital subgroups
Acute care, Other

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Methodist Dallas Medical CenterCCN 450051
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Charlton Methodist ER10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1441 N Beckley Ave
Fl 5
Dallas, TX 75203
Phone (214) 943-9300

301 W Colorado Blvd
Dallas, TX 75208

Ownership & related parties

All disclosed owners & managing parties 36

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amy Bodwell Individual W-2 Managing Employee Aug 29, 2011
Gregory a Campbell Individual Corporate DirectorBoard Member Mar 25, 2003
Allen R Schneider Individual Corporate DirectorBoard Member Mar 26, 1991
John Oliphint Individual Corporate Director Mar 23, 2021
John Patrick Faubion Individual Corporate DirectorDirector Nov 22, 2016
Larry Michael McKee Individual Corporate Director Jun 27, 2017
Jorge a Saldivar Individual Corporate Director Mar 24, 2020
Keith Payne Boone Individual Corporate DirectorDirector Nov 22, 2016
Marcus Knight Individual Corporate Director Mar 24, 2020
John M Collins Individual Corporate DirectorBoard Member Oct 23, 2001
John E Phillips Individual W-2 Managing EmployeePresident MDMC Sep 10, 2018
Martin Leroy Koonsman Individual Corporate OfficerChief Medical Officer- MHS Sep 10, 2018
James Norris Individual Corporate Director Mar 23, 2021
Julie Yarbrough Individual Corporate DirectorBoard Member Jun 23, 2009
David R McAtee Individual Corporate DirectorBoard Member Mar 26, 2013
Brenda L Jackson Individual Corporate Director Sep 23, 2014
Bernard P Difiore Individual Corporate DirectorDirector Mar 22, 2016
Levi H Davis Individual Corporate DirectorBoard Member Jan 22, 2002
Pamela Stoyanoff Individual Corporate OfficerChief Operatng Officer - MHS Mar 1, 2007
Ruben L Velez Individual Corporate DirectorBoard Member Jan 23, 2001
Methodist Hospitals of Dallas Organization, Dallas, TX 5% Or Greater Direct Ownership Interest Jul 1, 1984
Operational/Managerial Control Jul 1, 1984
Ronald Howard Ricks Individual Corporate DirectorBoard Member Mar 26, 2013
John R Candey Individual Corporate DirectorBoard Member Jan 27, 2009
Gerald Bright Individual Corporate DirectorBoard Member Mar 27, 2018
Robert S Folsom Individual Corporate DirectorBoard Member Apr 21, 2008
Michael O Price Individual Corporate OfficerChief Legal Officer - MHS Dec 7, 2000
Mae Helen Giddings Individual Corporate Director Mar 24, 2020
Michael L Finch Individual Corporate Director Mar 24, 2020
Kenneth Govan Individual Corporate Director Mar 23, 2021
Andrew Stoker Individual Corporate Director Mar 24, 2020
Jim Scott Vaszauskas Individual Corporate DirectorBoard Member Mar 26, 2019
Joseph B Fortson Individual Corporate DirectorBoard Member Oct 1, 1982
Timothy Griffy Individual Corporate Director Mar 24, 2020
Duncan T Fulton Individual Corporate DirectorBoard Member Apr 20, 2010
Craig Bjerke Individual Corporate OfficerChief Financial Officer Oct 1, 2018
W-2 Managing Employee Oct 17, 2016
James C Scoggin Individual Corporate OfficerChief Executive Officer - MHS Apr 22, 2019
Corporate DirectorBoard Member Apr 22, 2019
W-2 Managing Employee Apr 22, 2019

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Methodist Charlton Medical CenterDallas, TX, CCN 450723 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 1984
Jul 1, 1984
Methodist Mansfield Medical CenterMansfield, TX, CCN 670023 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 1, 2006
Dec 1, 2006
Methodist Rehabilitation HospitalDallas, TX, CCN 673031 Hospital 5% Or Greater Direct Ownership Interest (68.25%) Jan 21, 2008
Methodist McKinney HospitalMcKinney, TX, CCN 670069 Hospital 5% Or Greater Direct Ownership Interest (46.5%) Jul 1, 2023
Methodist Hospital for SurgeryAddison, TX, CCN 670073 Hospital 5% Or Greater Indirect Ownership Interest (41%) Jul 1, 2023
Methodist Richardson Medical CenterRichardson, TX, CCN 450537 Hospital Operational/Managerial Control Oct 1, 2011
Methodist Richardson Medical CenterRichardson, TX, CCN 45S537 Hospital Operational/Managerial Control Oct 1, 2011
Methodist Midlothian Medical CenterMidlothian, TX, CCN 670300 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 10, 2018
Sep 10, 2018
Methodist Southlake Medical CenterSouthlake, TX, CCN 670132 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Methodist Celina Medical CenterCelina, TX, CCN 670340 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 26, 2024
Jul 26, 2024
Forvis Mazars, LLPDesoto, TX, CCN 676492 Skilled nursing facility 5% Or Greater Direct Ownership Interest (51%)
Operational/Managerial Control
Adp of the SNF		 Nov 1, 2019
Apr 1, 2018
Mar 15, 2020

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 82

Affiliated clinicians 485

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 485

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1528027786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911875",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911875",
            "telephone_number": "214-947-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOSPITALS OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BJERKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE VP & CFO",
        "authorized_official_telephone_number": "214-947-4512"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135032403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135032405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Dallas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Methodist Dallas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.