Individual provider Active NPI

Meyling Jennifer Oei, DO

  • Pediatrics Physician
  • Mansfield, TX
National Provider Identifier
1639517287
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T3152 Issued in TX
Practice address
252 Matlock Rd Ste 330
Mansfield, TX 76063-6565
Phone
(817) 557-5437
NPI assigned
Jun 5, 2013
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 285392 NY
Pediatrics Physician 208000000X T3152 TX Primary

Addresses

Primary practice location

252 Matlock Rd Ste 330
Mansfield, TX 76063-6565

Mailing address

801 Amsterdam Ave
New York, NY 10025-5752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180710002994 NY Practitioner - Pediatric Medicine 2567718299 Reassigns benefits to 1 organization
I20240708003280 TX Practitioner - Pediatric Medicine 2567718299 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Jun 11, 2018 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics Current Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Jun 12, 2024 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Jun 11, 2018 Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients

Locations

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1935 Medical District Dr
Ste 908
Dallas, TX 75235

1825 Cannon Dr
Mansfield, TX 76063
Phone (817) 453-7770

252 Matlock Rd
Ste 330
Mansfield, TX 76063
Phone (817) 557-5437

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

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, 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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1639517287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MATLOCK RD STE 330",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636565",
            "telephone_number": "817-557-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEI",
        "first_name": "MEYLING",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "285392",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T3152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.