Organization Active NPI

Corinthia McLeroy, MD PA

Doing business as Encompass Medical Group

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1700333010
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
P3043 Issued in TX
Legal business name
CORINTHIA MCLEROY, MD PA
Doing business as
Encompass Medical Group
Practice address
12606 Greenville Ave Ste 110
Dallas, TX 75243-1908
Phone
(214) 361-2015
Fax
(214) 361-2018
NPI assigned
Sep 2, 2016
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Dr. Corinthia McLeroy, MDNPI 1467762070
Title
Owner
Phone
(954) 401-7196

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P3043 TX
Primary Care Clinic/Center 261QP2300X P3043 TX Primary

Addresses

Primary practice location

12606 Greenville Ave Ste 110
Dallas, TX 75243-1908

Mailing address

12606 Greenville Ave Ste 110
Dallas, TX 75243-1908
Phone (214) 361-2015

Other names 1

  • Encompass Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170330001276 TX Part B Supplier - Clinic/Group Practice 2769767912 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

8220 Walnut Hill Ln
Ste 110
Dallas, TX 75231
Phone (214) 739-0772

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13771/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1700333010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431908",
            "telephone_number": "214-361-2015",
            "fax_number": "214-361-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431908",
            "telephone_number": "214-361-2015",
            "fax_number": "214-361-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTHIA MCLEROY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "MCLEROY",
        "authorized_official_first_name": "CORINTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-401-7196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3043",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "P3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encompass Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.