Active NPI
David Paul Hominick, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1528091188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E4416
- Practice address
- 9101 N Central Expy Ste 300B
Dallas, TX 75231-5945 - Phone
- (469) 800-7100
- Fax
- (214) 363-2608
- NPI assigned
- Jul 8, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E4416 | TX | Primary |
Addresses
Primary practice location
9101 N Central Expy Ste 300B
Dallas, TX 75231-5945
Mailing address
9101 N Central Expy Ste 300B
Dallas, TX 75231-5945
Phone (469) 800-7100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8S0459 | Other | TX | BCBS |
| 035225402 | Medicaid | TX | |
| 035225403 | Medicaid | TX | |
| 035225404 | Medicaid | TX |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
Locations
9101 N Central Expy
Ste 300B
Dallas, TX 75231
Phone (469) 800-7100
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
Interoperability endpoints
- dhominick225654@direct.sw.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1528091188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 N CENTRAL EXPY STE 300B",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315945",
"telephone_number": "469-800-7100",
"fax_number": "214-363-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 N CENTRAL EXPY STE 300B",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315945",
"telephone_number": "469-800-7100",
"fax_number": "214-363-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMINICK",
"first_name": "DAVID",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E4416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8S0459",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035225402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035225403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035225404",
"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 Jul 2, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.