Individual provider Active NPI

Julie K Linderman, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1992907240
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M9458 Issued in TX
Practice address
5470 W Lovers LN Ste 330
Dallas, TX 75209-4392
Phone
(214) 456-7000
Fax
(469) 364-8724
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X M9458 TX Primary

Addresses

Primary practice location

5470 W Lovers LN Ste 330
Dallas, TX 75209-4392

Mailing address

5470 W. Lovers Lane Ste 330
Dallas, TX 75209
Phone (214) 956-7337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ivpmanager@ivpeds.com Direct

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
I20260604004274 TX Practitioner - Pediatric Medicine 9032680590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1935 Medical District Dr
Suite 9.08
Dallas, TX 75235-7794

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9458TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inwood Village Pediatrics Pediatrics PastSince Feb 27, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1992907240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 W. LOVERS LANE STE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75209",
            "telephone_number": "214-956-7337",
            "fax_number": "469-364-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 W LOVERS LN STE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094392",
            "telephone_number": "214-456-7000",
            "fax_number": "469-364-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDERMAN",
        "first_name": "JULIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M9458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivpmanager@ivpeds.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5470 W Lovers Ln Ste 330",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752094392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.