NPIMap

Individual provider Active NPI

Michael Adam Tolle, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1568486389
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4338 Issued in TX
Practice address
8440 Walnut Hill LN Ste 300
Dallas, TX 75231-3816
Phone
(214) 363-5660
Fax
(214) 373-7030
NPI assigned
Jul 26, 2006
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K4338 TX Primary
Pediatric Infectious Diseases Physician 2080P0208X K4338 TX

Addresses

Primary practice location

8440 Walnut Hill LN Ste 300
Dallas, TX 75231-3816

Mailing address

8440 Walnut Hill LN Ste 300
Dallas, TX 75231-3816
Phone (214) 363-5660

Other identifiers 1

IdentifierTypeStateIssuer
092308801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060829000551 TX Practitioner - Family PracticePractitioner - Pediatric Medicine 0244234508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

8440 Walnut Hill LN
Suite 300
Dallas, TX 75231-3816
Phone (214) 363-5660

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2014 Accepting new patients
Jim P Hussey Dopa Family Medicine PastSince Nov 28, 2011 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

8230 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 361-0946

8440 Walnut Hill Ln
Ste 300
Dallas, TX 75231
Phone (214) 363-5660

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3865/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mtolle432231@direct.texashealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1568486389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313816",
            "telephone_number": "214-363-5660",
            "fax_number": "214-373-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313816",
            "telephone_number": "214-363-5660",
            "fax_number": "214-373-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLE",
        "first_name": "MICHAEL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4338",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "TX",
            "license": "K4338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092308801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.