Individual provider Active NPI

Patrick Boothe, D.O.

  • Family Medicine Physician
  • Richardson, TX
National Provider Identifier
1730341694
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7399 Issued in TX
Practice address
2821 E President George Bush Hwy Ste 300
Richardson, TX 75082-4277
Phone
(972) 792-7300
Fax
(214) 947-8607
NPI assigned
Jul 1, 2008
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N7399 TX Primary

Addresses

Primary practice location

2821 E President George Bush Hwy Ste 300
Richardson, TX 75082-4277

Mailing address

2821 E President George Bush Hwy Ste 300
Richardson, TX 75082-4277
Phone (972) 792-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925001470 TX Practitioner - Family Practice 7012152820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
N7399TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jul 13, 2015 Accepting new patients
Medhealth Family Medicine CurrentSince Jul 13, 2015 Accepting new patients

Locations

3000 Blackburn St
Ste 130
Dallas, TX 75204
Phone (214) 599-8624

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2821 George Bush Hwy
Ste 103
Richardson, TX 75082
Phone (972) 276-6300

2821 George Bush Hwy
Ste 300
Richardson, TX 75082
Phone (972) 231-9144

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

613 S Highway 78
Ste 200
Wylie, TX 75098
Phone (469) 562-4232

Interoperability endpoints

  • Direct secure messaging: pboothe14377@dm.mhd.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1730341694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824277",
            "telephone_number": "972-792-7300",
            "fax_number": "214-947-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824277",
            "telephone_number": "972-792-7300",
            "fax_number": "214-947-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.