DAVID H EWALT M.D.
NPI 1043257686
Urology - Pediatric Urology in Plano, TX

Active since June 01, 2006PECOS Enrolled
4001 W 15TH ST STE 300, PLANO, TX 75093(214) 750-0808(682) 303-9572 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2022, Apr 14, 2021, Apr 9, 2021 and 2 more (5 updates tracked since 2016).

About David H Ewalt M.d. NPPES

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

DAVID H EWALT M.D. (NPI 1043257686) is an individual pediatric urology provider in Plano, Texas, licensed in Texas (G9345) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043257686
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDAVID H EWALTCredential: M.D.
Location Address4001 W 15TH ST STE 300Plano, TX 75093-5802
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Fax(682) 303-9572
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateFebruary 21, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2022
✔ NPI 1043257686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in TX · G9345
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
4001 W 15TH ST STE 300, Plano, TX 75093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David H Ewalt M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Ewalt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers15 claims2,880 services$1.68 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$5.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
4001 W 15TH ST STE 300
PLANO, TX 75093
Physician Assistant
4001 W 15TH ST STE 300
PLANO, TX 75093
Physician Assistant
4001 W 15TH ST STE 300
PLANO, TX 75093

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 David Ewalt's NPI number?

The NPI number for David Ewalt is 1043257686. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is David Ewalt located?

David Ewalt practices at 4001 W 15th St Ste 300, Plano, TX 75093. The listed phone number is (214) 750-0808.

What is David Ewalt's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is David Ewalt enrolled in Medicare?

Yes. David Ewalt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Ewalt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Ewalt reassigns Medicare benefits to 2 organizations: Dallas Physician Medical Services For Children Inc (Dallas, TX) and Cook Children's Physician Network (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Ewalt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Ewalt was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.