Individual provider Active NPI

Richard Frank Eller, M.D.

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1972502896
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H9908 Issued in TX
Practice address
18800 Preston Rd Ste 310
Dallas, TX 75252-8573
Phone
(214) 619-5225
Fax
(972) 612-2495
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H9908 TX Primary

Addresses

Primary practice location

18800 Preston Rd Ste 310
Dallas, TX 75252-8573

Mailing address

18800 Preston Rd Ste 310
Dallas, TX 75252-8573
Phone (214) 619-5225

Other identifiers 1

IdentifierTypeStateIssuer
043633903MedicaidTX

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
I20100512000053 TX Practitioner - General Surgery 1254378433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas a & M University System, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18800 Preston Rd
Suite 310
Dallas, TX 75252-8573
Phone (972) 985-5511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9908TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Eller MD PA Surgery CurrentSince Jun 15, 2015 Accepting new patients
Surgical Specialists of Plano PA Surgery CurrentSince Oct 22, 2018 Accepting new patients
Vital Wellness & Weight Loss P.a. Past Accepting new patients

Locations

12606 Greenville Ave
Ste 160
Dallas, TX 75243
Phone (469) 364-7880

18800 Preston Rd
Ste 310
Dallas, TX 75252
Phone (214) 619-5225

4001 W 15th St
Ste 180
Plano, TX 75093
Phone (214) 930-1252

Organizations & group practices 3

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1972502896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 PRESTON RD STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752528573",
            "telephone_number": "214-619-5225",
            "fax_number": "972-612-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 PRESTON RD STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752528573",
            "telephone_number": "214-619-5225",
            "fax_number": "972-612-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "RICHARD",
        "middle_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H9908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043633903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.