NPIMap

Organization Active NPI

University of Texas Southwestern Medical Center at Dallas

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1760452767
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone
(214) 645-0624
Fax
(214) 645-0078
NPI assigned
Jan 24, 2006
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Bruce A. Meyer, M.D.NPI 1265423560
Title
Executive Vice President
Phone
(214) 645-0624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X
Internal Medicine Physician 207R00000X Primary
Hepatology Physician 207RI0008X
Nephrology Physician 207RN0300X

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7208

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-0624

Other identifiers 1

IdentifierTypeStateIssuer
126686802MedicaidTX

Other names 1

  • UT Southwestern MSP Internal Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000792 TX Part B Supplier - Clinic/Group Practice 0648188250 Receives reassigned benefits from 5,689 practitioners
46 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 43

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 43

National Provider Directory

National Provider Directory
Tax ID family
Genetic Diagnostics79 organizations share this tax ID, including this one
Part of
Genetic Diagnostics

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 375)

19333 Bear Valley Rd
Ste 104
Apple Valley, CA 92308
Phone (760) 247-8462

5330 Carroll Canyon Rd
Ste 140
San Diego, CA 92121
Phone (858) 295-0501

11291 Nall Ave
Leawood, KS 66211

257 Broadway St
Chicopee, MA 01020

4741 S Arrowhead Dr
Independence, MO 64055
Phone (816) 795-6000

1111 W 34th St
Ste 200
Austin, TX 78705
Phone (512) 324-3405

6811 Austin Center Blvd
Ste 300
Austin, TX 78731
Phone (512) 346-8888

13625 Ronald W Reagan Blvd
Bldg 6
Cedar Park, TX 78613
Phone (512) 336-2777

2999 Olympus Blvd
Fl 3
Coppell, TX 75019

2999 Olympus Blvd
Ste 300
Coppell, TX 75019
Phone (214) 645-6800

1250 W Mockingbird Ln
Dallas, TX 75247
Phone (214) 247-6568

12606 Greenville Ave
Ste 180
Dallas, TX 75243
Phone (214) 645-0950

13340 Preston Rd
Dallas, TX 75240
Phone (972) 239-5034

1341 W Mockingbird Ln
Ste 240W
Dallas, TX 75247
Phone (214) 456-7700

1430 Empire Central Dr
Dallas, TX 75247
Phone (214) 645-8500

1801 Inwood 6th Fl
Ste 102
Dallas, TX 75390

1801 Inwood 7th Fl
Ste 102
Dallas, TX 75390

1801 Inwood Rd
#1
Dallas, TX 75235
Phone (214) 645-3300

1801 Inwood Rd
#5
Dallas, TX 75235

1801 Inwood Rd
#7
Dallas, TX 75235

1801 Inwood Rd
#7200
Dallas, TX 75235

1801 Inwood Rd
Fl 4
Dallas, TX 75235
Phone (214) 645-3101

1801 Inwood Rd
Fl 5
Dallas, TX 75235
Phone (214) 645-2035

1801 Inwood Rd
Fl 6
Dallas, TX 75235
Phone (214) 392-6263

1801 Inwood Rd
Fl 6102
Dallas, TX 75235

Practitioners & affiliated clinicians

Practitioners 2,307

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.

View all 2,307

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1760452767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-0624",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907208",
            "telephone_number": "214-645-0624",
            "fax_number": "214-645-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "214-645-0624",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126686802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Southwestern MSP Internal Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UT Southwestern MSP Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.