Deborah A Fuller, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G8117 Issued in TX

Practice address

7777 Forest LN Ste B430
Dallas, TX 75230-2530

Phone

(214) 887-6100

Fax

(214) 826-7927

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

University of Texas Medical Branch at Galveston, 1984

Medicare assignment

May accept Medicare assignment

Group practices

OBGYN Hospitalists of North Texas PLLCGroup PAC ID 5092215780, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.fuller@txe054.digichart.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• OBGYN Hospitalists of North Texas PLLC

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1780578328
  Medicare reassignment Care Compare group NPD
• Dallas Obstetrics & Gynecology PA

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1215967583
  NPD
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  NPD (past)
• Richard E Berger MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Dallas, TX
  • NPI 1336350032
  NPD (past)

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

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1952326969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "214-887-6100",
            "fax_number": "214-826-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B430",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302530",
            "telephone_number": "214-887-6100",
            "fax_number": "214-826-7927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Live Oak St",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752046153",
            "country_code": "US",
            "telephone_number": "214-887-6100",
            "fax_number": "214-826-7927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G8117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098466802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Full Life Outreach Medical Center LLC (Full Life Outreach Center)
• Aileen Fullchange, LP
• Andrea Nicole Fuller, PA-C
• Dale Eugene Fuller, MD
• Dana A Fuller, MD
• Dwain Fuller, M.D. .
• Elise Fuller, COTA
• Elise J Fuller, MA, LPC
• Grant Fuller, OTA
• Jeffrey Fuller

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.

Verify at the official NPI Registry.