Active NPI
Mallory Nebergall, M.D.
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- WO681
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (975) 715-9976
- NPI assigned
- Apr 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD469326 | PA | |
| Anesthesiology Physician | 207L00000X | WO681 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | ME157621 | FL |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
2525 W. University Ave. Ste 401
IU Health Ball Memorial Hospital
Muncie, IN 47303
Phone (765) 747-4306
Other practice location 2
6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161402094 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-6356
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME157621 | FL | MD | Anesthesiology Physician |
| WO681 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Sound Physicians Anesthesiology of Texas PLLC | Anesthesiology | Current | Accepting new patients |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
PA
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1831605617
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1649227166
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1700230075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "975-715-9976"
}
],
"practiceLocations": [
{
"address_1": "2525 W. University Ave. Ste 401",
"address_2": "IU Health Ball Memorial Hospital",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "47303",
"country_code": "US",
"telephone_number": "765-747-4306",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6500 W Newberry Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326054309",
"country_code": "US",
"telephone_number": "352-333-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEBERGALL",
"first_name": "MALLORY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD469326",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "WO681",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME157621",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161402094",
"state": "IL"
}
],
"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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.