Individual provider Active NPI

Katherina Avila, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1962898445
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S2725 Issued in TX
Practice address
2663 S Lancaster Rd
Dallas, TX 75216-3112
Phone
(214) 296-4341
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RS2015-0388 NM
Internal Medicine Physician 207R00000X S2725 TX Primary

Addresses

Primary practice location

2663 S Lancaster Rd
Dallas, TX 75216-3112

Mailing address

PO Box 746079
Atlanta, GA 30374-6079

Other practice location 1

Msc 10 5550
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4661

Other practice location 2

5939 Harry Hines Blvd Ste Hq08.124
Dallas, TX 75235
Phone (214) 645-8600

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
I20191206000842 TX Practitioner - Internal Medicine 9830402593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

2663 S Lancaster Rd
Dallas, TX 75216-3112
Phone (214) 296-4341

Hospital & facility affiliations

  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS2015-0388NMMDInternal Medicine Physician
S2725TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 1, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

5939 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 645-1919

2663 S Lancaster Rd
Dallas, TX 75216
Phone (214) 296-4341

5939 Harry Hines Blvd
Ste HQ8124
Dallas, TX 75235
Phone (214) 645-8600

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

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.

Hospital & facility affiliations 1

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1962898445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752163112",
            "telephone_number": "214-296-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 10 5550",
            "address_2": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-4661",
            "fax_number": "505-272-4628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5939 Harry Hines Blvd Ste Hq08.124",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75235",
            "country_code": "US",
            "telephone_number": "214-645-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "KATHERINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "RS2015-0388",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.