NPIMap

Individual provider Active NPI

Emily Ila Levy Kamugisha, M.D., AAHIVS

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1740674043
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9849 Issued in TX
Practice address
8194 Walnut Hill Lane, Professional Office Building 5
Ste 100
Dallas, TX 75231-4316
Phone
(214) 891-6400
Fax
(214) 891-6401
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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 Q9849 TX Primary

Addresses

Primary practice location

8194 Walnut Hill Lane, Professional Office Building 5
Ste 100
Dallas, TX 75231-4316

Mailing address

8194 Walnut Hill Lane, Professional Office Building 5
Ste 100
Dallas, TX 75231-4316
Phone (214) 891-6400

Other names 1

  • Dr. Emily Ila Levy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170128000143 TX Practitioner - Family Practice 4981986817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone (216) 648-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9849TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 20, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Family Medicine CurrentSince Aug 20, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Locations

8194 Walnut Hill Ln
Ofc
Dallas, TX 75231
Phone (214) 891-6400

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: elevykamugisha156728@direct.swmed.us
  • Direct secure messaging: emily.levy.kamugisha.1@13631.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1740674043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8194 WALNUT HILL LANE, PROFESSIONAL OFFICE BUILDING 5",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314316",
            "telephone_number": "214-891-6400",
            "fax_number": "214-891-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8194 WALNUT HILL LANE, PROFESSIONAL OFFICE BUILDING 5",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314316",
            "telephone_number": "214-891-6400",
            "fax_number": "214-891-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY KAMUGISHA",
        "first_name": "EMILY",
        "middle_name": "ILA",
        "name_prefix": "Dr.",
        "credential": "M.D., AAHIVS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LEVY",
            "middle_name": "ILA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.