Individual provider Active NPI

Maria Tletee, MD

  • Internal Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1760026918
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V0198 Issued in TX
Practice address
5203 Lake Ridge Pkwy Ste 101
Grand Prairie, TX 75052-3017
Phone
(817) 633-9590
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V0198 TX Primary

Addresses

Primary practice location

5203 Lake Ridge Pkwy Ste 101
Grand Prairie, TX 75052-3017

Mailing address

5203 Lake Ridge Pkwy Ste 101
Grand Prairie, TX 75052-3017
Phone (817) 633-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230823002340 NC Practitioner - Internal Medicine 1557724630
I20241219001988 TX Practitioner - Internal Medicine 1557724630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians

Practice addresses (Care Compare)

5203 Lake Ridge Pkwy
Suite 101
Grand Prairie, TX 75052-3017
Phone (469) 506-1671

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V0198TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Specialists, PLLC Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
Lonestar Provider Network Internal Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7777 Forest Ln
Ste C300
Dallas, TX 75230
Phone (972) 566-6000

900 Jerome St
Ste 204
Fort Worth, TX 76104
Phone (817) 885-7827

1308 Paluxy Rd
Ste 205
Granbury, TX 76048
Phone (817) 489-7450

5203 Lake Ridge Pkwy
Ste 101
Grand Prairie, TX 75052
Phone (682) 218-5400

4375 Booth Calloway Rd
Ste 201
North Richlnd Hls, TX 76180
Phone (817) 255-1940

Interoperability endpoints

  • Direct secure messaging: maria.tletee@iredell.cernerdirect.com
  • Direct secure messaging: maria.tletee@hca7.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1760026918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 LAKE RIDGE PKWY STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523017",
            "telephone_number": "817-633-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 LAKE RIDGE PKWY STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523017",
            "telephone_number": "817-633-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLETEE",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V0198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.