NPIMap

Individual provider Active NPI

Jerry Alvin Allison, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1891753232
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P7380 Issued in TX
Practice address
13330 Noel Rd
Unit 338
Dallas, TX 75240-5055
Phone
(916) 897-4987
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13157 HI
Emergency Medicine Physician 207P00000X A103638 CA
Emergency Medicine Physician 207P00000X P7380 TX Primary

Addresses

Primary practice location

13330 Noel Rd
Unit 338
Dallas, TX 75240-5055

Mailing address

13330 Noel Rd
Unit 338
Dallas, TX 75240-5055
Phone (916) 897-4987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000836 TX Practitioner - Emergency MedicinePractitioner - Family Practice 3678501756 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, Inc 330 clinicians

Practice addresses (Care Compare)

1405 W Jefferson St
Baylor Medical Center Waxahachie
Waxahachie, TX 75165-2231
Phone (469) 843-4000

Hospital & facility affiliations

  • Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730
  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
89.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13157HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Emergency Medicine Associates PA Emergency Medicine CurrentSince May 11, 2018 Accepting new patients
HCC of Fairfield LLC CurrentSince Dec 26, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Ess of Fairfield LLC Emergency Medicine CurrentSince Dec 26, 2018 Accepting new patients
Ies Carrollton PLLC Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 5, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Mar 1, 2020 Accepting new patients
Butte Inpatient Services Past Accepting new patients
Prairie Schooner Emergency Physicians, a Medical Corporation Emergency Medicine Past Accepting new patients
Hawaii Hospital Physicians Inc PastSince Aug 1, 2004 Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3500 Gaston Ave
Dallas, TX 75246

5920 Forest Park Rd
Dallas, TX 75235
Phone (214) 266-0312

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Interoperability endpoints

  • Direct secure messaging: fmcjallis@yourcarecommunity.org
  • Direct secure messaging: jerry.allison.1@13131.direct.athenahealth.com

Organizations & group practices 13

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 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1891753232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 NOEL RD",
            "address_2": "UNIT 338",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405055",
            "telephone_number": "916-897-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 NOEL RD",
            "address_2": "UNIT 338",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405055",
            "telephone_number": "916-897-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "JERRY",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "13157",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A103638",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P7380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.