Active NPI
David Jason Hull, MD
- Anatomic Pathology & Clinical Pathology Physician
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- M66667
- Practice address
- 4770 Regent Blvd
Irving, TX 75063-2445 - Phone
- (972) 934-4300
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | NA | TX | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101242878 | VA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | M66667 | TX | Primary |
Addresses
Primary practice location
4770 Regent Blvd
Irving, TX 75063-2445
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
Other practice location 1
6221 Riverside Dr Ste 119
Irving, TX 75039-3515
Phone (877) 232-9924
Other practice location 2
410 N Utica Ave
Lubbock, TX 79416-3035
Phone (866) 987-7284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342877301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M66667 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
| 0101242878 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DFW 501a Corporation | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| DFW 501a Corporation | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Mattison Pathology LLP | Current | Accepting new patients |
Locations
1800 Renaissance Blvd
Ste L100
Edmond, OK 73013
Phone (866) 987-7284
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280
6221 Riverside Dr
Ste 119
Irving, TX 75039
Phone (469) 232-9920
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Iring, TX
- NPI 1699746222
-
- Anatomic Pathology & Clinical Pathology Physician
- Edmond, OK
- NPI 1912685686
-
- Anatomic Pathology & Clinical Pathology Physician
- Plano, TX
- NPI 1881665412
-
- Clinical Medical Laboratory
- Edmond, OK
- NPI 1548034630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1891998365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD STE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013661",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 REGENT BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750632445",
"telephone_number": "972-934-4300"
}
],
"practiceLocations": [
{
"address_1": "6221 Riverside Dr Ste 119",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750393515",
"country_code": "US",
"telephone_number": "877-232-9924",
"fax_number": "469-232-9927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 N Utica Ave",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794163035",
"country_code": "US",
"telephone_number": "866-987-7284",
"fax_number": "806-687-7255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULL",
"first_name": "DAVID",
"middle_name": "JASON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "TX",
"license": "NA",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101242878",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "M66667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342877301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.