Active NPI
Urology Clinics of North Texas, PLLC
- Urology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- M0918
- Legal business name
- UROLOGY CLINICS OF NORTH TEXAS, PLLC
- Practice address
- 8230 Walnut Hill LN
Suite 700
Dallas, TX 75231-4482 - Phone
- (214) 691-1902
- Fax
- (214) 987-1845
- NPI assigned
- May 17, 2006
- Last updated
- Dec 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerri D Wilson
- Title
- Ceo
- Phone
- (214) 691-1902
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Radiation Oncology Physician | 2085R0001X | K3232 | TX | |
| Urology Physician | 208800000X | M0918 | TX | Primary |
| Pediatric Urology Physician | 2088P0231X | G9345 | TX |
Addresses
Primary practice location
8230 Walnut Hill LN
Suite 700
Dallas, TX 75231-4482
Mailing address
1650 Republic Pkwy Ste 130
Mesquite, TX 75150-6920
Phone (214) 692-8262
Other practice location 1
7777 Forest Ln Ste C565
Dallas, TX 75230-6847
Phone (972) 566-7765
Other practice location 2
3417 Gaston Ave Ste 830
Dallas, TX 75246-2032
Phone (214) 826-6021
Other practice location 3
221 W Colorado Blvd Ste 443
Dallas, TX 75208-2312
Phone (214) 271-9971
Other practice location 4
6460 Naaman Forest Blvd
Garland, TX 75044-5601
Phone (972) 494-6764
Other practice location 5
920 Highway 352 Ste 100
Mesquite, TX 75149-6805
Phone (972) 270-8859
Other practice location 6
12606 Greenville Ave Ste 160
Dallas, TX 75243-1915
Phone (214) 691-9377
Other practice location 7
12606 Greenville Ave Ste 185
Dallas, TX 75243-1921
Phone (469) 547-6541
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI6342 | Other | TX | RR MEDICARE GROUP |
| 1720031370 | Medicaid | TX | |
| 0036DE | Other | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040526000711 | TX | Part B Supplier - Clinic/Group Practice | 5496736415 |
Receives reassigned benefits from 81 practitioners 2 other NPIs on this enrollment Practice locations: Fort Worth, TX; Frisco, TX; Garland, TX; Grapevine, TX; McKinney, TX; Mesquite, TX; Plano, TX; Rockwall, TX… |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1528237260
5496736415
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0480489 | Urology Clinic of North Texas PA | Provider-performed microscopy | Jan 17, 2027 |
| 45D0481642 | Urology Clinics of North Texas PA | Provider-performed microscopy | Jan 26, 2028 |
| 45D0722182 | Urology Clinics of North Texas | Provider-performed microscopy | Aug 31, 2027 |
| 45D1016875 | Urology Clinics of North Texas | Certificate of waiver | Oct 13, 2027 |
| 45D1064174 | Urology Clinics of North Texas | Certificate of waiver | Feb 24, 2028 |
| 45D1096496 | Urology Clinics of North Texas | Certificate of waiver | Apr 8, 2027 |
| 45D2233446 | Urology Clinics of North Texas | Certificate of waiver | Apr 30, 2027 |
| 45D2261906 | Urology Clinics of North Texas | Certificate of waiver | Jun 6, 2028 |
| 45D2314670 | Urology Clinics of North Texas | Provider-performed microscopy | Nov 24, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Texas Institute for Surgery at Texas Health Presbyterian Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1245201656
Member Of
Locations
1020 Cleveland Rd
Saraland, AL 36571
Phone (251) 675-4733
971 Broad St
Augusta, GA 30901
Phone (844) 563-0239
1105 Central Expy N
Ste 150
Allen, TX 75013
4325 N Josey Ln
Ste 111
Carrollton, TX 75010
Phone (972) 394-3699
3417 Gaston Ave
Ste 830
Dallas, TX 75246
Phone (214) 826-6235
7515 Greenville Ave
Ste 408
Dallas, TX 75231
7777 Forest Ln
Ste A
Dallas, TX 75230
8230 Walnut Hill Ln
Ste 700
Dallas, TX 75231
9900 N Central Expy
#130
Dallas, TX 75231
9900 N Central Expy
Ste 100
Dallas, TX 75231
3204 Colorado Blvd
Denton, TX 76210
Phone (940) 566-0746
4370 Medical Arts Dr
Ste 105
Flower Mound, TX 75028
Phone (940) 382-9429
4312 Heritage Trace Pkwy
Fort Worth, TX 76244
16050 Everwell Ln
Ste 401A
Frisco, TX 75033
Phone (469) 678-8370
6500 Naaman Forest Blvd
Garland, TX 75044
Phone (214) 257-0682
5252 W University Dr
Ste 210
McKinney, TX 75071
1650 Republic Pkwy
Mesquite, TX 75150
Phone (972) 698-1140
920 Highway 352
Mesquite, TX 75149
920 Highway 352
Ste 100
Mesquite, TX 75149
Phone (214) 345-8008
4708 Alliance Blvd
Ste 835
Plano, TX 75093
Phone (972) 309-0005
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Texas Institute for Surgery at Presbyterian Hospital Dallas | Hospital | Limited Partnership Interest (3.67%) | Oct 8, 2004 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Texas Institute for Surgery at Texas Health Presbyterian Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1245201656
Limited Partnership Interest
Practitioners & affiliated clinicians
Practitioners 93
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.
-
- Radiation Oncology Physician
- Plano, TX
- NPI 1790786879
-
- Acute Care Nurse Practitioner
- Rockwall, TX
- NPI 1972368983
-
- Urology Physician
- Fort Worth, TX
- NPI 1538422779
-
- Urology Physician
- Dallas, TX
- NPI 1851952840
-
- Urology Physician
- Dallas, TX
- NPI 1790748176
-
- Urology Physician
- Grapevine, TX
- NPI 1043439920
-
- Urology Physician
- Dallas, TX
- NPI 1003377730
-
- Urology Physician
- Rockwall, TX
- NPI 1245492032
-
- Urology Physician
- Flower Mound, TX
- NPI 1245684760
-
- Urology Physician
- Grapevine, TX
- NPI 1568495398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766016000000",
"number": "1720031370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 REPUBLIC PKWY STE 130",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506920",
"telephone_number": "214-692-8262",
"fax_number": "214-696-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 WALNUT HILL LN",
"address_2": "SUITE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314482",
"telephone_number": "214-691-1902",
"fax_number": "214-987-1845"
}
],
"practiceLocations": [
{
"address_1": "7777 Forest Ln Ste C565",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752306847",
"country_code": "US",
"telephone_number": "972-566-7765",
"fax_number": "972-566-4656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3417 Gaston Ave Ste 830",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752462032",
"country_code": "US",
"telephone_number": "214-826-6021",
"fax_number": "214-823-9745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 W Colorado Blvd Ste 443",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752082312",
"country_code": "US",
"telephone_number": "214-271-9971",
"fax_number": "214-271-9972",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6460 Naaman Forest Blvd",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750445601",
"country_code": "US",
"telephone_number": "972-494-6764",
"fax_number": "972-494-6893",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 Highway 352 Ste 100",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751496805",
"country_code": "US",
"telephone_number": "972-270-8859",
"fax_number": "972-279-5551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12606 Greenville Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752431915",
"country_code": "US",
"telephone_number": "214-691-9377",
"fax_number": "469-364-7895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12606 Greenville Ave Ste 185",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752431921",
"country_code": "US",
"telephone_number": "469-547-6541",
"fax_number": "469-547-6545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UROLOGY CLINICS OF NORTH TEXAS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JERRI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-691-1902"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "K3232",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "M0918",
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "TX",
"license": "G9345",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CI6342",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720031370",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0036DE",
"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 Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.