Individual provider Active NPI

David Jason Hull, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
National Provider Identifier
1891998365
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M66667 Issued in TX
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

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
342877301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140826001172 TX Practitioner - Pathology 1153549605 Reassigns benefits to 1 organization
I20230927000446 OK Practitioner - Pathology 1153549605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M66667TXMDAnatomic Pathology & Clinical Pathology Physician
0101242878VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Mar 4, 2024 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Mar 4, 2024 Accepting new patients
Mattison Pathology LLP CurrentSince Nov 12, 2023 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.

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

Verify at the official NPI Registry.