NPIMap

Organization Active NPI

Ipa ER Group PLLC

  • Emergency Medicine Physician
  • Trophy Club, TX
National Provider Identifier
1588488571
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
IPA ER GROUP PLLC
Practice address
2850 E Highway 114
Trophy Club, TX 76262-5302
Phone
(214) 696-8033
NPI assigned
Nov 14, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
INPATIENT PHYSICIAN ASSOCIATES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dr. Matthew F DavisNPI 1669400511
Title
President
Phone
(214) 696-8033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

2850 E Highway 114
Trophy Club, TX 76262-5302

Mailing address

6901 Snider PLZ Ste 130
Dallas, TX 75205-5649

Other practice location 1

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (214) 696-8033

Other practice location 2

1814 Roseland Blvd Ste 100
Tyler, TX 75701-4262
Phone (214) 696-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206002223 TX Part B Supplier - Clinic/Group Practice 9133655616 Receives reassigned benefits from 51 practitioners
Practice locations: Trophy Club, TX; Tyler, TX; Addison, TX

National Provider Directory

National Provider Directory
Part of
Inpatient Phy Assoc PLLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1588488571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 E HIGHWAY 114",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625302",
            "telephone_number": "214-696-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17101 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750017103",
            "country_code": "US",
            "telephone_number": "214-696-8033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1814 Roseland Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757014262",
            "country_code": "US",
            "telephone_number": "214-696-8033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IPA ER GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INPATIENT PHYSICIAN ASSOCIATES PLLC",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-696-8033",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.