NPIMap

Individual provider Active NPI

Harold K Childs, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1639115140
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4884 Issued in TX
Practice address
6901 Snider PLZ
Suite 130
Dallas, TX 75205-5648
Phone
(972) 381-6690
Fax
(214) 361-2552
NPI assigned
Jun 22, 2006
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L4884 TX Primary

Addresses

Primary practice location

6901 Snider PLZ
Suite 130
Dallas, TX 75205-5648

Mailing address

6901 Snider PLZ
Suite 130
Dallas, TX 75205-5648
Phone (972) 381-6690

Other identifiers 4

IdentifierTypeStateIssuer
157636502MedicaidTX
8J3683OtherTXBC/BS
1639115140MedicaidTX
157636501MedicaidTX

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
I20050421001271 TX Practitioner - Internal Medicine 7719925676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Physician Associates PLLCGroup PAC ID 1759379092, 30 clinicians

Practice addresses (Care Compare)

421 E State Hwy 114
Southlake, TX 76092-3635
Phone (817) 865-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC Internal Medicine CurrentSince May 1, 2003 Accepting new patients

Locations

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 498-1000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Organizations & group practices 1

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 10

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1639115140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ",
            "address_2": "SUITE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055648",
            "telephone_number": "972-381-6690",
            "fax_number": "214-361-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ",
            "address_2": "SUITE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055648",
            "telephone_number": "972-381-6690",
            "fax_number": "214-361-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "HAROLD",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157636502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8J3683",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639115140",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157636501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.