NORTH DALLAS ENT GROUP
NPI 1043336860
Specialist in Dallas, TX
About North Dallas Ent Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH DALLAS ENT GROUP (NPI 1043336860) is a healthcare organization registered as a specialist in Dallas, Texas and active in the NPI registry since March 2007. The organization lists Michelle Denise Banno, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Dallas Ent Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to North Dallas Ent Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 North Dallas Ent Group's NPI number?
The NPI number for North Dallas Ent Group is 1043336860. It was assigned to this organization in the NPPES registry on March 22, 2007.
Where is North Dallas Ent Group located?
North Dallas Ent Group is located at 12720 Hillcrest Rd Ste 900, Dallas, TX 75230. The listed phone number is (972) 566-8300.
What is North Dallas Ent Group's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is North Dallas Ent Group enrolled in Medicare?
Yes. North Dallas Ent Group is registered in the Medicare PECOS enrollment system.
When is North Dallas Ent Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through North Dallas Ent Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Otolaryngology, reassign their Medicare billing to North Dallas Ent Group. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for North Dallas Ent Group was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# North Dallas Ent Group · NPI 1043336860
Specialist organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1043336860 (Entity type: Organization)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Michelle Banno, OFFICE MANAGER
## Practice location
- **Address:** 12720 HILLCREST RD STE 900, Dallas, TX 75230-2047
- **Phone:** (972) 566-8300 · **Fax:** (972) 566-8004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Otolaryngology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2025
- **Other identifiers:** Other 0063PM (TX); Other 0077HR (TX); Medicaid 110688201 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1043336860) · Data from the CMS NPPES public registry.