Signify Health, LLC

Organization Active NPI General Practice Physician · Dallas, TX

NPI 1689158487 · NPPES record last updated Aug 28, 2026

Key facts

NPI
1689158487
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
SIGNIFY HEALTH, LLC
Practice address
4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Phone
(469) 466-7007
NPI assigned
Sep 18, 2018
Organization subpart
No

Authorized official

Name
Robert Shawn Bronke
Title
Enrollment Manager
Phone
(469) 909-6746

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 4,178

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

View all 4,178

Medicare participation

Medicare fee-for-service enrollment
Enrolled (19 enrollments) in KY, LA, MO, DE, AL, ME, UT, VA, WY, OH, AZ, AK, ID, VT, MS, OK, NM, HI, PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210209002652 KY Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 362 practitioners
Practice locations: Louisville, KY
O20210210001575 LA Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 433 practitioners
Practice locations: New Orleans, LA
O20210212002068 MO Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 397 practitioners
Practice locations: Kansas City, MO
O20210215001302 DE Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 79 practitioners
Practice locations: Wilmington, DE
O20210224000756 AL Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 458 practitioners
Practice locations: Birmingham, AL
O20210225001693 ME Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 77 practitioners
Practice locations: Portland, ME
O20210225002062 UT Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 168 practitioners
Practice locations: Sandy, UT
O20210226002383 VA Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 525 practitioners
Practice locations: Richmond, VA
O20210301002156 WY Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 29 practitioners
Practice locations: Cheyenne, WY
O20210303002044 OH Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 690 practitioners
Practice locations: Columbus, OH
O20210305000869 AZ Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 580 practitioners
Practice locations: Chandler, AZ
O20210309002311 AK Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 16 practitioners
Practice locations: Palmer, AK
O20210309003127 ID Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 73 practitioners
Practice locations: Boise, ID
O20210319000385 VT Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 27 practitioners
Practice locations: Shelburne, VT
O20210323002802 MS Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 194 practitioners
Practice locations: Jackson, MS
O20210505002298 OK Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 215 practitioners
Practice locations: Oklahoma City, OK
O20210512001500 NM Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 192 practitioners
Practice locations: Albuquerque, NM
O20210513001661 HI Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 59 practitioners
Practice locations: Honolulu, HI
O20210804002801 PR Part B Supplier - Clinic/Group Practice 3274895263 Receives reassigned benefits from 4 practitioners
Practice locations: San Juan, PR

National Provider Directory

Locations

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

6 City Ctr
Portland, ME 04101

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

151 Calle San Francisco
San Juan, PR 00901

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193200000X MULTI-SPECIALTY GROUP
171M00000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

4055 Valley View LN Ste 700
Dallas, TX 75244-5045

Mailing address

4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Phone (469) 466-7007

Other practice location 1

175 S 3rd St Ste 200
Columbus, OH 43215-5194
Phone (877) 868-5351

Other names

  • Chloe Ox Parent LLC Former legal business name

Other providers in Dallas, TX

All providers in Dallas, TX · General Practice Physician in Texas

Sources for this page

Verify at the official NPI Registry.