Individual provider Active NPI

David Paul Hominick, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1528091188
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E4416 Issued in TX
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

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8S0459OtherTXBCBS
035225402MedicaidTX
035225403MedicaidTX
035225404MedicaidTX

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
I20070608000207 TX Practitioner - Internal Medicine 8820196223 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Apr 9, 2012 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Apr 9, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.