Individual provider Active NPI

Estrella Pedroza, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1851176457
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17107 Issued in TX
Practice address
3414 Milton Ave
Dallas, TX 75205-1338
Phone
(469) 522-3995
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA17107 TX Primary

Addresses

Primary practice location

3414 Milton Ave
Dallas, TX 75205-1338

Mailing address

3414 Milton Ave
Dallas, TX 75205-1338

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214001731 TX Practitioner - Physician Assistant 8224472600 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians
Communitymed PLLCGroup PAC ID 9830315126, 46 clinicians

Practice addresses (Care Compare)

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

2619 Sentinel Way
Suite 200
Melissa, TX 75454-2811
Phone (972) 387-8900

3210 Midwestern Pkwy
Suite 500a
Wichita Falls, TX 76308-2860
Phone (940) 488-4616

3591 McKinney St
Suite 400a
Melissa, TX 75454-9571
Phone (972) 464-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17107TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Citra Physician Services PLLC CurrentSince Dec 13, 2023 Accepting new patients
Primary Health Physicians, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Citra Physician Services PLLC CurrentSince Dec 13, 2023 Accepting new patients

Locations

6320 US 287 Hwy
Ste 112
Arlington, TX 76001
Phone (817) 778-9883

3600 FM 407 E
Ste 220
Bartonville, TX 76226
Phone (940) 220-7510

11350 US Highway 380
Ste 100
Cross Roads, TX 76227
Phone (214) 296-2945

18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556

3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

2501 W 7th St
Ste 101
Ft Worth, TX 76107
Phone (817) 268-9690

2432 Avondale Haslet Rd
Ste 100
Haslet, TX 76052
Phone (682) 312-3969

295 FM 156 S
Ste 300
Haslet, TX 76052
Phone (817) 779-4382

104 S Main St
Keller, TX 76248
Phone (214) 295-9385

3020 E Broad St
Ste 100
Mansfield, TX 76063
Phone (682) 282-4014

2619 Sentinel Way
Ste 200
Melissa, TX 75454
Phone (469) 649-8905

670 W Princeton Dr
Ste 400
Princeton, TX 75407
Phone (469) 500-5892

1000 N Preston Rd
Ste 60
Prosper, TX 75078
Phone (469) 342-7010

2001 N Preston Rd
Ste 80
Prosper, TX 75078
Phone (469) 907-5012

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1851176457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 MILTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 MILTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051338",
            "telephone_number": "469-522-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "ESTRELLA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.