Randall Rosenblatt, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Dallas, TX
NPI 1871531004 · NPPES record last updated Feb 17, 2015
Key facts
- NPI
- 1871531004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- E4927 (TX)
- Practice address
- 3410 Worth St
Suite 250
Dallas, TX 75246-2003 - Phone
- (214) 820-9111
- Fax
- (214) 820-1638
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Indiana University School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seminole Hospital District of Gaines County Texas
Healthtexas Provider Network
Practice addresses (Care Compare)
209 NW 8TH St
Seminole, TX 79360-3447
3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100
3600 Gaston Ave
Suite 656
Dallas, TX 75246-1906
Phone (214) 820-3466
4001 Worth St
Dallas, TX 75246-1608
Hospital & facility affiliations
- Baylor University Medical Center
- Cook Childrens Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070305000095 | TX | Practitioner - Pulmonary Disease |
9931201308 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current |
Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current |
Accepting new patients | |
| Southwest Pulmonary Associates | Pulmonary Disease | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
3410 Worth St
Ste 250
Dallas, TX 75246
Phone (214) 820-6856
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- rrosenblatt225413@direct.sw.org
- randall.rosenblatt@direct.myteamcare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | E4927 | TX | Yes |
Addresses
Primary practice location
3410 Worth St
Suite 250
Dallas, TX 75246-2003
Mailing address
3410 Worth St
Suite 250
Dallas, TX 75246-2003
Phone (214) 820-9111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1264046-10 | Medicaid | TX | |
| 1264046-08 | Medicaid | TX | |
| 126404609 | Medicaid | TX |
Other providers in Dallas, TX
- Marcella Maryann Rosenberg
- Marie Isley Rosenberg
- Nancy Rosenberg
- Roger N Rosenberg
- Anna Rosenblatt
- Jennifer McKay Rosene
- John Andrew Rosener
- Janis Ellen Rosenfeld-Barbash
- Charles R Rosenfeld
- Evan Louis Rosenfeld
All providers in Dallas, TX · Pulmonary Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.