Active NPI
Paul Andrew Lederer, M.D.
- Pulmonary Disease Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- S0934
- Practice address
- 5200 Harry Hines Blvd
Dallas, TX 75235 - Phone
- (214) 590-4656
- NPI assigned
- May 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-130845 | IL | |
| Pulmonary Disease Physician | 207RP1001X | S0934 | TX | Primary |
Addresses
Primary practice location
5200 Harry Hines Blvd
Dallas, TX 75235
Mailing address
PO Box 845347
Dallas, TX 75284-7208
Other practice location 1
840 S Wood St # Mc719
Room 920-N CSB
Chicago, IL 60612-4325
Phone (312) 996-8039
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-130845 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1770717233",
"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": "752847208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75235",
"telephone_number": "214-590-4656"
}
],
"practiceLocations": [
{
"address_1": "840 S Wood St # Mc719",
"address_2": "Room 920-N CSB",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124325",
"country_code": "US",
"telephone_number": "312-996-8039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDERER",
"first_name": "PAUL",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-130845",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "S0934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.