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COMPLEX CARE MEDICAL SERVICES CORPORATION
NPI 1013256098
Pediatrics in Dallas, TX

Active since February 11, 2013CLIA 45D2060062 · Waiver
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(469) 488-7200(214) 456-1240 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, May 5, 2023, Dec 20, 2021 and 1 more (4 updates tracked since 2021).

About Complex Care Medical Services Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLEX CARE MEDICAL SERVICES CORPORATION (NPI 1013256098) is a healthcare organization registered as a pediatrics in Dallas, Texas and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Adam Melton, Svp Physician Operations, as its authorized official.

NPPES Registry Identity

NPI1013256098
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOMPLEX CARE MEDICAL SERVICES CORPORATION
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address1935 Medical District DrDallas, TX 75235-7701 · (214) 456-7000 · Fax (214) 456-1240
Phone(469) 488-7200
Fax(214) 456-1240
Organization SubpartNo
Authorized OfficialAdam MeltonSvp Physician Operations · (214) 456-0039
Enumeration DateFebruary 11, 2013
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1013256098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1935 MEDICAL DISTRICT DR, Dallas, TX 75235
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Other Identifiers 3

Medicaid317409601TX
Medicaid317409602TX
Medicaid317409603TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2060062

Complex Care Medical Services · Dallas, TX
Active · expires Jun 4, 2027
CLIA Number45D2060062
Laboratory TypePractitioner Other
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorPatricia Petroff
Laboratory Phone(469) 488-7200
Laboratory LocationComplex Care Medical Services2350 N Stemmons Freeway Suite F2450, Dallas, TX 75207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA ANNA JONES CPNP-AC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (973) 801-0173
CASSIE ANN LAURENCE PA-C
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MICHELE WILLET RYLANDER RN, MSN, CPNP
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MR. ADAM CHRISTOPHER WENNER CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (469) 303-7000
RICHARD DAVID SENTELLE D.M.D./PH.D.
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Dallas County (214) 456-2735
KELSEY NICOLE BURKHART PA
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
RENAE JEAN WHITE MD
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-2735
VICTORIA LEE CPNP-AC/PC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Complex Care Medical Services Corporation's NPI number?

The NPI number for Complex Care Medical Services Corporation is 1013256098. It was assigned to this organization in the NPPES registry on February 11, 2013.

Where is Complex Care Medical Services Corporation located?

Complex Care Medical Services Corporation is located at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (469) 488-7200.

What is Complex Care Medical Services Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Complex Care Medical Services Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2060062) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Complex Care Medical Services Corporation was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.