Individual provider Active NPI

Ronnie A Pezeshk, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1922369503
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q2604 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-9132
Phone
(214) 645-8765
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X Q2604 TX
Anesthesiology Physician 207L00000X Q2604 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-9132

Mailing address

University of Texas Southwestern Medical Ctr
Department of Plastic Surgery 1801 Inwood Road
Dallas, TX 75390-9132
Phone (214) 648-8602

Other practice location 1

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 633-5555

Other practice location 2

University Of Texas Southwestern Medical Ctr
Department of Plastic Surgery 1801 Inwood Road
Dallas, TX 75390-9132
Phone (214) 648-8602

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150223000523 TX Practitioner - AnesthesiologyPractitioner - General Surgery 2264757947 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 648-6400

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

801 W Interstate 20
Arlington, TX 76017-5851
Phone (817) 886-4456

Hospital & facility affiliations

  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880
  • Usmd Hospital at Arlington L P Hospital, Arlington, TX, CCN 450872
  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Anesthesiology CurrentSince Dec 28, 2025 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Jan 28, 2015 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 19, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Anesthesiology CurrentSince Aug 19, 2024 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Dec 30, 2025 Accepting new patients

Locations (25 of 34)

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

1801 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2035

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

601 Clara Barton Blvd
Ste 350
Garland, TX 75042
Phone (972) 426-9900

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

6045 Alma Rd
Ste 100
McKinney, TX 75070
Phone (469) 854-8000

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

4005 W 15th St
Plano, TX 75093
Phone (214) 250-3531

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1922369503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CTR",
            "address_2": "DEPARTMENT OF PLASTIC SURGERY 1801 INWOOD ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909132",
            "telephone_number": "214-648-8602",
            "fax_number": "214-648-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909132",
            "telephone_number": "214-645-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357709",
            "country_code": "US",
            "telephone_number": "214-633-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University Of Texas Southwestern Medical Ctr",
            "address_2": "Department of Plastic Surgery 1801 Inwood Road",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753909132",
            "country_code": "US",
            "telephone_number": "214-648-8602",
            "fax_number": "214-648-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEZESHK",
        "first_name": "RONNIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "Q2604",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q2604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.