Individual provider Active NPI

Rob D Dickerman, D.O., PH.D.

  • Neurological Surgery Physician
  • Addison, TX
National Provider Identifier
1962424747
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
L9174 Issued in TX
Practice address
16633 Dalas Parkway
Ste 150
Addison, TX 75001
Phone
(214) 490-0988
Fax
(972) 380-0030
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X L9174 TX Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X L9174 TX

Addresses

Primary practice location

16633 Dalas Parkway
Ste 150
Addison, TX 75001

Mailing address

16633 Dalas Parkway
Ste 150
Addison, TX 75001
Phone (214) 490-0988

Other identifiers 1

IdentifierTypeStateIssuer
00X058OtherTXMEDICARE GROUP

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
I20040812001406 TX Practitioner - AnesthesiologyPractitioner - Neurosurgery 9537132154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
13.93 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
46.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9174TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lenient Care Affiliates Current Accepting new patients

Locations

5575 Frisco Square Blvd
Ste 110
Frisco, TX 75034
Phone (972) 238-0512

Interoperability endpoints

  • Direct secure messaging: dmcrdicke@yourcarecommunity.org

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1962424747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 DALAS PARKWAY",
            "address_2": "STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "75001",
            "telephone_number": "214-490-0988",
            "fax_number": "972-380-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALAS PARKWAY",
            "address_2": "STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "75001",
            "telephone_number": "214-490-0988",
            "fax_number": "972-380-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERMAN",
        "first_name": "ROB",
        "middle_name": "D",
        "credential": "D.O., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L9174",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "L9174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00X058",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.