Individual provider Active NPI

Courtney G. Trylovich, M.D.

  • Obstetrics & Gynecology Physician
  • Plano, TX
National Provider Identifier
1972548519
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J6455 Issued in TX
Practice address
6124 W Parker Rd
# 136
Plano, TX 75093-8122
Phone
(972) 981-7711
Fax
(972) 981-7712
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J6455 TX Primary

Addresses

Primary practice location

6124 W Parker Rd
# 136
Plano, TX 75093-8122

Mailing address

6124 W Parker Rd
# 136
Plano, TX 75093-8122
Phone (972) 981-7711

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
I20091005000634 TX Practitioner - Obstetrics/Gynecology 9830235811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northlake OB/GYNGroup PAC ID 7315083391, 8 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Mob 3 Suite 136
Plano, TX 75093-8122
Phone (972) 981-7711

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6455TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northlake OB/GYN Obstetrics & Gynecology CurrentSince Sep 1, 2009 Accepting new patients
Christina J Woods MD PA Obstetrics & Gynecology PastSince Sep 1, 2009 Accepting new patients

Locations

7777 Forest Ln
Ste C234
Dallas, TX 75230
Phone (214) 661-7711

6124 W Parker Rd
Ste 136
Plano, TX 75093
Phone (972) 981-7711

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.

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1972548519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "# 136",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-981-7711",
            "fax_number": "972-981-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "# 136",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-981-7711",
            "fax_number": "972-981-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYLOVICH",
        "first_name": "COURTNEY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J6455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.