NPIMap

Individual provider Active NPI

Anthony R Doti, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1760403679
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8126 Issued in TX
Practice address
1340 Empire CTRL Dr
Dallas, TX 75247-4022
Phone
(214) 632-6394
Fax
(214) 525-0664
NPI assigned
Jul 23, 2006
Last updated
Jan 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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 K8126 TX Primary

Addresses

Primary practice location

1340 Empire CTRL Dr
Dallas, TX 75247-4022

Mailing address

1340 Empire CTRL Dr
Dallas, TX 75247-4022
Phone (214) 632-6394

Other identifiers 3

IdentifierTypeStateIssuer
166046601MedicaidTX
166046602MedicaidTX
166046603MedicaidTX

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
I20040609001340 TX Practitioner - Internal Medicine 4183607690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

445 E FM
1382 Suite 3225
Cedar Hill, TX 75104-6047
Phone (972) 795-4336

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Doti MD PLLC Internal Medicine CurrentSince Jan 26, 2017 Accepting new patients
Stephens Memorial Hospital District Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients
Dallas County Hospital District PastSince May 1, 2019 Accepting new patients
Desoto II Enterprises, LLC Past Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Desoto LTC Partners, Inc. Past Accepting new patients
Hamilton County Hospital District Past Accepting new patients

Locations

445 E FM 1382
Ste 3225
Cedar Hill, TX 75104
Phone (214) 732-3501

1801 N Hampton Rd
Ste 333
Desoto, TX 75115
Phone (972) 255-7668

Interoperability endpoints

  • Direct secure messaging: anthony.doti.1@13131.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakewest Rehabilitation and Skilled CareDallas, TX, CCN 676276 Skilled nursing facility Adp of the SNF May 1, 2019
Desoto Nursing & Rehabilitation CenterDesoto, TX, CCN 455994 Skilled nursing facility Adp of the SNF Aug 15, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 11

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1760403679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 EMPIRE CTRL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474022",
            "telephone_number": "214-632-6394",
            "fax_number": "214-525-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 EMPIRE CTRL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474022",
            "telephone_number": "214-632-6394",
            "fax_number": "214-525-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTI",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166046601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166046602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166046603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.