Active NPI
Elizabeth M Race, MD
- Infectious Disease Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- K7085
- Practice address
- 7777 Forest LN
Suite B-122
Dallas, TX 75230-2571 - Phone
- (972) 383-1060
- Fax
- (972) 383-1061
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | K7085 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
Suite B-122
Dallas, TX 75230-2571
Mailing address
8390 Champions Gate Blvd
Suite 215
Champions Gate, FL 33896-8310
Phone (407) 390-1677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044901901 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7777 Forest LN
Suite B122
Dallas, TX 75230-6806
Phone (972) 383-1060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36219 | TX | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Arms, Inc. | Infectious Disease | Current | Accepting new patients |
| AIDS Arms, Inc. | Current | Accepting new patients | |
| AIDS Healthcare Foundation Texas Inc | Infectious Disease | Current | Accepting new patients |
| AIDS Healthcare Foundation Texas Inc | Past | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
7777 Forest Ln
Ste B122
Dallas, TX 75230
Phone (972) 383-1060
3900 Junius St
Ste 300
Dallas, TX 75246
Phone (214) 521-5191
4004 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 623-6830
219 Sunset Ave
Ste 116A
Dallas, TX 75208
Phone (469) 749-7822
2801 Lemmon Ave
Ste 200
Dallas, TX 75204
Phone (214) 267-8810
400 N Beach St
Ste 104
Ft Worth, TX 76111
Phone (817) 831-1750
7400 Fannin St
Ste 1118
Houston, TX 77054
Phone (713) 797-9200
Interoperability endpoints
- elizabeth.race.1@26356.direct.athenahealth.com
Organizations & group practices 4
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.
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- General Practice Dentistry
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- NPI 1841986999
-
- Clinic/Center
- Fort Worth, TX
- NPI 1104190115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1568424596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD",
"address_2": "SUITE 215",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968310",
"telephone_number": "407-390-1677",
"fax_number": "407-390-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE B-122",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-383-1060",
"fax_number": "972-383-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACE",
"first_name": "ELIZABETH",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "K7085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044901901",
"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 21, 2016; 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.