EXELON HEALTH MANAGEMENT LLC
NPI 1124995279
Clinic/Center in Dallas, TX

Active since October 22, 2025
9304 FOREST LN STE S145, DALLAS, TX 75243(708) 505-6789 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Exelon Health Management Llc NPPES

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

EXELON HEALTH MANAGEMENT LLC (NPI 1124995279) is a healthcare organization registered as a clinic/center in Dallas, Texas and active in the NPI registry since October 2025. The organization lists Shiva Reddy Thotapally, Director, as its authorized official.

NPPES Registry Identity

NPI1124995279
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEXELON HEALTH MANAGEMENT LLC
Location Address9304 FOREST LN STE S145Dallas, TX 75243-6238
Mailing Address9304 Forest Ln Ste S145Dallas, TX 75243-6238 · (708) 505-6789
Organization SubpartNo
Authorized OfficialShiva Reddy ThotapallyDirector · (708) 505-6789
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1124995279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
9304 FOREST LN STE S145, Dallas, TX 75243

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Exelon Health Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Exelon Health Management LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1679046486
333 N SHILOH RD STE 107
Garland, TX 75042
(972) 840-8599
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1114549185
1115 KENNEDALE SUBLETT RD
Kennedale, TX 76060
(682) 429-2723
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1114210648
855 MONTGOMERY ST
Fort Worth, TX 76107
(817) 702-6100
✔ PECOS38 mi
Nurse Practitioner
NPI 1659915320
6000 BRYANT IRVIN RD
Fort Worth, TX 76132
(214) 749-4657
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1538972245
201 N I 35
Gainesville, TX 76240
(214) 347-7666
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1407452642
23900 KATY FWY
Katy, TX 77494
(281) 644-7300
✔ PECOS222 mi
Nurse Practitioner
NPI 1609490168
3822 COLORADO BEND DR
Katy, TX 77494
(919) 995-5789
✔ PECOS✔ Accepts Medicare224 mi
Nurse Practitioner
NPI 1457137739
6935 DELL VISTA DR
Rosenberg, TX 77469
(917) 207-2013
✔ PECOS✔ Accepts Medicare241 mi
Nurse Practitioner
NPI 1487338471
5955 JIMMY CARTER BLVD
Norcross, GA 30071
(770) 559-3555
✔ PECOS727 mi
Nurse Practitioner
NPI 1851831663
200 MEDICAL PKWY STE 109
Chesapeake, VA 23320
(757) 312-2144
✔ PECOS✔ Accepts Medicare1,192 mi

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 Exelon Health Management LLC's NPI number?

The NPI number for Exelon Health Management LLC is 1124995279. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Exelon Health Management LLC located?

Exelon Health Management LLC is located at 9304 Forest Ln Ste S145, Dallas, TX 75243. The listed phone number is (708) 505-6789.

What is Exelon Health Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Exelon Health Management LLC enrolled in Medicare?

Yes. Exelon Health Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Exelon Health Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Exelon Health Management LLC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Exelon Health Management LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.