Active NPI
Rissa Fedora, DO
- Psychiatry Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- U2483
- Practice address
- 1717 Main St Ste 5850
Dallas, TX 75201-7317 - Phone
- (972) 449-0540
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 082464 | CT | |
| Psychiatry Physician | 2084P0800X | U2483 | TX | Primary |
| Psychiatry Physician | 2084P0800X | 036.175939 | IL |
Addresses
Primary practice location
1717 Main St Ste 5850
Dallas, TX 75201-7317
Mailing address
1717 Main St Ste 5850
Dallas, TX 75201-7317
Other practice location 1
540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, TX, FL, MI, NJ, PA, IA, CT, IL, WA, ID, DC, MD, SC, VA, WI, NC, CA, MA, AZ, AL, MO, TN, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 24
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240822004857 | HI | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250513003558 | TX | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250514000267 | FL | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250711000948 | MI | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250715002400 | NJ | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250715003190 | PA | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250731003529 | IA | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250805001854 | CT | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250807001694 | IL | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 6 organizations |
| I20250811001342 | WA | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250811002598 | ID | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250812003586 | DC | Practitioner - Neurology | 4082153994 | Reassigns benefits to 1 organization |
| I20250812004030 | MD | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250903001466 | SC | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20250912001882 | VA | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20251001000421 | WI | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 3 organizations |
| I20251103001486 | NC | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20251113004008 | CA | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20251202001840 | MA | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20251206000331 | AZ | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20251213000481 | AL | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20260120001504 | MO | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20260212002464 | TN | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
| I20260316003314 | LA | Practitioner - Psychiatry | 4082153994 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Access Telecare PLLCAccess Telecare California PC
Practice addresses (Care Compare)
MC Lean, VA 22101
Phone (972) 449-0450
1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (972) 449-0540
10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (972) 449-0540
11113 Research Blvd
Austin, TX 78759-5236
Phone (972) 449-0540
1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (972) 449-0540
13314 Sunny Brooke PL
Potomac, MD 20854-6392
Phone (972) 449-0540
13855 E 14TH St
San Leandro, CA 94578-2611
Phone (972) 449-0540
1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (972) 449-0540
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (972) 449-0540
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (972) 449-0540
200 Hospital Ave
Jefferson, NC 28640-9244
Phone (972) 449-0540
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (972) 449-0540
202 N Division St
Auburn, WA 98001-4939
Phone (972) 449-0540
2134 Riverstone Loop
Ferndale, WA 98248-8024
Phone (972) 449-0540
27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (972) 449-0540
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (972) 449-0540
317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (972) 449-0540
4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540
41755 Echo Forest Dr
Canton, MI 48188-4819
Phone (972) 449-0540
500 Hospital Dr
Warrenton, VA 20186-3027
Phone (972) 449-0540
615 N Bonita Ave
Panama City, FL 32401-3623
Phone (972) 449-0540
7356 15TH Ave NW
Seattle, WA 98117-5401
Phone (972) 449-0540
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (972) 449-0540
7800 US Hwy 98 W
Miramar Beach, FL 32550-7228
Phone (972) 449-0540
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (972) 449-0540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24752 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 1024877 | MA | MD | Clinical Social Worker |
| 036.175939 | IL | MD | Psychiatry Physician |
| 6754 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Psychiatry | Current | Accepting new patients |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Castle Medical Center | Current | Accepting new patients | |
| QHG of Enterprise Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Castle Medical Center | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Access Telecare California, P.C. | Psychiatry | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| St. Vincent Hospital | Past | Accepting new patients |
Locations (25 of 26)
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
20 York St
North Haven, CT 06510
Phone (203) 688-2433
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
1700 Rainbow Blvd
Exclsor Sprgs, MO 64024
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
7356 15th Ave NW
Seattle, WA 98117
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Interoperability endpoints
- rissa.fedora@hca4.eclinicaldirectplus.com
- rfedora813708@direct.shands.ufl.edu
Organizations & group practices 15
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 1013303080
AL, AZ, CT, DC, FL, IA, ID, IL, LA, MA, MD, MI, MO, NC, NJ, PA, Psychiatry, SC, TN, TX, VA, WA, WI
-
- Community/Retail Pharmacy
- Kaneohe, HI
- NPI 1679540264
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1780143149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MAIN ST STE 5850",
"city": "DALLAS",
"state": "TX",
"postal_code": "752017317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 MAIN ST STE 5850",
"city": "DALLAS",
"state": "TX",
"postal_code": "752017317",
"telephone_number": "972-449-0540"
}
],
"practiceLocations": [
{
"address_1": "540 LITCHFIELD ST",
"address_purpose": "LOCATION",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067906679",
"country_code": "US",
"telephone_number": "972-449-0540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDORA",
"first_name": "RISSA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "082464",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "U2483",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.175939",
"primary": false
}
],
"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 Apr 21, 2026; 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.