Individual provider Active NPI

A. Jay Staub, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1578565222
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F4563 Issued in TX
Practice address
8160 Walnut Hill LN
Suite # 116
Dallas, TX 75231-4339
Phone
(214) 365-1150
Fax
(214) 363-2477
NPI assigned
Aug 12, 2005
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F4563 TX Primary

Addresses

Primary practice location

8160 Walnut Hill LN
Suite # 116
Dallas, TX 75231-4339

Mailing address

555 Republic Dr
Suite # 460
Plano, TX 75074-5481
Phone (972) 644-2819

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
I20100413000118 TX Practitioner - Obstetrics/Gynecology 9638223035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical City OB-GYN, PLLCGroup PAC ID 3476808411, 60 clinicians

Practice addresses (Care Compare)

4650 President George Bush Tpke
Suite 310
Sachse, TX 75048-4980
Phone (214) 365-1150

515 W Mayfield Rd
Suite 200
Arlington, TX 76014-4596
Phone (817) 468-4689

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7000

7777 Forest LN
Suite C300J
Dallas, TX 75230-2604
Phone (972) 566-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F4563TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical City OB-GYN, PLLC Obstetrics & Gynecology CurrentSince Aug 1, 2021 Accepting new patients
Rose Imaging Specialists PA Past Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847

7777 Forest Ln
Ste C300J
Dallas, TX 75230
Phone (972) 566-2043

7777 Forest Ln
Ste D1110
Dallas, TX 75230
Phone (214) 824-3200

7777 Forest Ln
Ste D1200
Dallas, TX 75230
Phone (214) 365-1150

8160 Walnut Hill Ln
Ste 116
Dallas, TX 75231
Phone (214) 345-7024

2805 S Mayhill Rd
Denton, TX 76208
Phone 9405916700258

4650 President George Bush Tpke
Ste 310
Sachse, TX 75048
Phone (214) 365-1150

Interoperability endpoints

  • Direct secure messaging: ajay.staub@hca7.eclinicaldirectplus.com
  • Direct secure messaging: ajay.straub@tx102.digichart.direct-ci.com

Organizations & group practices 3

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 5

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1578565222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR",
            "address_2": "SUITE # 460",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745481",
            "telephone_number": "972-644-2819",
            "fax_number": "972-680-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE # 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "214-365-1150",
            "fax_number": "214-363-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUB",
        "first_name": "A.",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.