Individual provider Active NPI

Rissa Fedora, DO

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1780143149
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U2483 Issued in TX
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

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, LA24 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 24

Enrollment IDStateProvider typePAC IDDetails
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 - PsychiatryPractitioner - Neurology 4082153994 Reassigns benefits to 1 organization
I20250805001854 CT Practitioner - PsychiatryPractitioner - Neurology 4082153994 Reassigns benefits to 1 organization
I20250807001694 IL Practitioner - PsychiatryPractitioner - Neurology 4082153994 Reassigns benefits to 6 organizations
I20250811001342 WA Practitioner - PsychiatryPractitioner - Neurology 4082153994 Reassigns benefits to 1 organization
I20250811002598 ID Practitioner - PsychiatryPractitioner - Neurology 4082153994 Reassigns benefits to 1 organization
I20250812003586 DC Practitioner - NeurologyPractitioner - Psychiatry 4082153994 Reassigns benefits to 1 organization
I20250812004030 MD Practitioner - PsychiatryPractitioner - Neurology 4082153994 Reassigns benefits to 1 organization
I20250903001466 SC Practitioner - PsychiatryPractitioner - Neurology 4082153994 Reassigns benefits to 1 organization
I20250912001882 VA Practitioner - Psychiatry 4082153994 Reassigns benefits to 1 organization
I20251001000421 WI Practitioner - PsychiatryPractitioner - Neurology 4082153994 Reassigns benefits to 3 organizations
I20251103001486 NC Practitioner - PsychiatryPractitioner - Neurology 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 PLLCGroup PAC ID 7810204831, 409 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians

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

LicenseStateTypeSpecialty
24752CAMDAddiction (Substance Use Disorder) Counselor
1024877MAMDClinical Social Worker
036.175939ILMDPsychiatry Physician
6754TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Psychiatry CurrentSince May 7, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Castle Medical Center CurrentSince Aug 1, 2024 Accepting new patients
QHG of Enterprise Inc CurrentSince Nov 18, 2025 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Castle Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 21, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Nov 21, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Access Telecare California, P.C. Psychiatry CurrentSince Oct 27, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 21, 2025 Accepting new patients
Baylor College of Medicine PastSince Apr 1, 2022 Accepting new patients
St. Vincent Hospital PastSince Jul 14, 2024 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

  • Direct secure messaging: rissa.fedora@hca4.eclinicaldirectplus.com
  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.