Active NPI
Marc A Tribble, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1982669883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K5723
- Practice address
- 3500 Oak Lawn Ave Ste 700
Dallas, TX 75219-6719 - Phone
- (214) 521-0100
- Fax
- (214) 521-0104
- NPI assigned
- Apr 20, 2006
- Last updated
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K5723 | TX | |
| Infectious Disease Physician | 207RI0200X | K5723 | TX | |
| Internal Medicine Physician | 207R00000X | K5723 | TX | Primary |
Addresses
Primary practice location
3500 Oak Lawn Ave Ste 700
Dallas, TX 75219-6719
Mailing address
3500 Oak Lawn Ave Ste 700
Dallas, TX 75219-6719
Phone (214) 521-0100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 1997
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3500 Oak Lawn Ave
Suite 700
Dallas, TX 75219-6719
Phone (214) 521-0100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5723 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Progressive Care PLLC | Internal Medicine | Current | Accepting new patients |
| MD Request PLLC | Internal Medicine | Past | Accepting new patients |
| North Texas Infectious Diseases Consultants | Specialist | Past | Accepting new patients |
| North Texas Infectious Disaeases Consultants, PA | Specialist | Past | Accepting new patients |
Locations
3500 Oak Lawn Ave
Ste 700
Dallas, TX 75219
Phone (214) 521-0100
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60208
- https://fhir4.healow.com/fhir/r4/IHAJBD
- marc.tribble@mdpc.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992347546
-
- Internal Medicine Physician
- Frisco, TX
- NPI 1316281975
-
- Specialist
- Dallas, TX
- NPI 1932296191
-
- Specialist
- Dallas, TX
- NPI 1891751749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1982669883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 OAK LAWN AVE STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752196719",
"telephone_number": "214-521-0100",
"fax_number": "214-521-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 OAK LAWN AVE STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752196719",
"telephone_number": "214-521-0100",
"fax_number": "214-521-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIBBLE",
"first_name": "MARC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K5723",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "K5723",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K5723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.