Organization Active NPI

Urban Health Systems P.a.

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1679945539
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G6395 Issued in TX
Legal business name
URBAN HEALTH SYSTEMS P.A.
Practice address
7310 S Westmoreland Rd Ste 1
Dallas, TX 75237-3002
Phone
(214) 337-4700
Fax
(972) 709-2847
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Ronnie D Shade, M.D.NPI 1952309973
Title
President
Phone
(214) 337-4700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G6395 TX Primary

Addresses

Primary practice location

7310 S Westmoreland Rd Ste 1
Dallas, TX 75237-3002

Mailing address

7310 S Westmoreland Rd Ste 1
Dallas, TX 75237-3002
Phone (214) 337-4700

Other identifiers 3

IdentifierTypeStateIssuer
472310OtherMEDICARE ID
032574801MedicaidTX
00CW90OtherMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160210000213 TX Part B Supplier - Clinic/Group Practice 0749584886 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2085340Urban Health System PA7310 S Westmoreland, Dallas, TX 75237Certificate of waiverOct 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ronnie D Shade MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7310 S Westmoreland Rd
Ste 1
Dallas, TX 75237
Phone (214) 337-4700

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1679945539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 S WESTMORELAND RD STE 1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373002",
            "telephone_number": "214-337-4700",
            "fax_number": "972-709-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 S WESTMORELAND RD STE 1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373002",
            "telephone_number": "214-337-4700",
            "fax_number": "972-709-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN HEALTH SYSTEMS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "SHADE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-337-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G6395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "472310",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032574801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00CW90",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.