Individual provider Active NPI

Israel Ackerman, M.D.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1619402260
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T0403 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-3436
Phone
(214) 648-3848
NPI assigned
Apr 20, 2017
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X T0403 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-3436

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-2020

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
I20210524001406 TX Practitioner - Ophthalmology 4789928565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence a. Shafron MD PAGroup PAC ID 8628168937, 5 clinicians

Practice addresses (Care Compare)

2210 San Jacinto Blvd
Suite 1
Denton, TX 76205-7531
Phone (940) 382-8000

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

Final score
93.66 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0403TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fagadau & Hawk, M.D LLP Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince Jul 7, 2021 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 7, 2021 Accepting new patients
Lawrence a. Shafron MD PA CurrentSince Oct 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Heartcare Specialist PLLC Past Accepting new patients

Locations

1601 W Hebron Pkwy
Ste 200
Carrollton, TX 75010
Phone (972) 426-8675

1601 W Hebron Pkwy
Ste 220
Carrollton, TX 75010
Phone (469) 208-7181

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

6131 Luther Ln
Ste 216
Dallas, TX 75225
Phone (214) 987-2020

2210 San Jacinto Blvd
Ste 1
Denton, TX 76205
Phone (940) 382-8000

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1619402260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753903436",
            "telephone_number": "214-648-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "ISRAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T0403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.