Individual provider Active NPI

Diana Lynn Losak, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1598008690
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08206 Issued in TX
Practice address
4716 Alliance Boulevard
Ste 700
Plano, TX 75093-5389
Phone
(469) 800-6069
Fax
(214) 292-0047
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08206 TX Primary

Addresses

Primary practice location

4716 Alliance Boulevard
Ste 700
Plano, TX 75093-5389

Mailing address

4716 Alliance Blvd Ste 700
Plano, TX 75093-5389
Phone (469) 800-6069

Other identifiers 1

IdentifierTypeStateIssuer
353899301MedicaidTX

Other names 1

  • Diana Lynn Barksdale Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlosak285409@direct.sw.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930002870 TX Practitioner - Physician Assistant 9234359910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James H Herndon Jr MD PAGroup PAC ID 3577628189, 3 clinicians

Practice addresses (Care Compare)

8230 Walnut Hill LN
Suite 500
Dallas, TX 75231-4435
Phone (214) 739-5821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08206TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas-Dallas Diagnostic Association CurrentSince Jul 10, 2017 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 23, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 23, 2019 Accepting new patients
James H. Herndon, Jr. M.D. P.a. CurrentSince Jan 1, 2026 Accepting new patients

Locations

8230 Walnut Hill Ln
Ste 500
Dallas, TX 75231
Phone (214) 739-5821

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

4716 Alliance Blvd
Ste 700
Plano, TX 75093
Phone (469) 800-6069

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 5

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1598008690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BLVD STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935389",
            "telephone_number": "469-800-6069",
            "fax_number": "469-800-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BOULEVARD",
            "address_2": "STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935389",
            "telephone_number": "469-800-6069",
            "fax_number": "214-292-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSAK",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353899301",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlosak285409@direct.sw.org",
            "affiliation": "N",
            "address_1": "4716 Alliance Boulevard",
            "address_2": "Ste 700",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "BARKSDALE",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.