Daphne Louise Favroth, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H9074 Issued in TX

Practice address

189 N Plano Rd
Suite150
Richardson, TX 75081-8000

Phone

(972) 669-8400

Fax

(972) 235-0033

NPI assigned

Jun 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

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

Internal MedicineAlso: Pediatric Medicine

Education

Creighton University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Plano Hospital, Plano, TX, CCN 450651

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Daphne L Favroth MD and Associates

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1659577138
  Medicare reassignment NPD Authorized official
• Dallas County Hospital District

  dba CV Roman Women's Health Center

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1558035188
  NPD (past)
• Richardson Physician Alliance

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1144277542
  NPD (past)
• Vickery Health Center

  • Psychologist
  • Dallas, TX
  • NPI 1831166446

  Pediatrics

  NPD (past)
• Lsu Medical Center

  • Speech-Language Pathologist
  • New Orleans, LA
  • NPI 1588737803
  NPD (past)

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

• Columbia Medical Center of Plano Subsidiary LP

  dba Medical City Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation

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

{
    "created_epoch": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1982600763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 N PLANO RD",
            "address_2": "SUITE150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750818000",
            "telephone_number": "972-669-8400",
            "fax_number": "972-235-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N PLANO RD",
            "address_2": "SUITE150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750818000",
            "telephone_number": "972-669-8400",
            "fax_number": "972-235-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVROTH",
        "first_name": "DAPHNE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-25",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "019205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H9074",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "019205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139297916",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139297917",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139297918",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Sharjeel Farooqui
• Ashlee Farrar
• Elizabeth Marie Fata, PA-C
• Michael Craig Faucette, D.D.S.
• Eloise Christine Faust, CNIM
• Oscar Faz, MOT
• Cori Feldman
• Leslie Felix
• Elizabeth Lea Fell, MS CCC SLP
• Amy Marie Fellers, SLP

• Internal Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.