ROBERT MYBOE ALISHARAN JR. MD
NPI 1144302464
Pediatrics - Pediatric Critical Care Medicine in Dallas, TX

Q: What is Robert Alisharan's NPI number?

The NPI number for Robert Alisharan is 1144302464. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Robert Alisharan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Robert Alisharan was last updated on December 22, 2021. 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.

Active since October 19, 2006PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 730-5437 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Robert Myboe Alisharan Jr. Md NPPES

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

ROBERT MYBOE ALISHARAN JR. MD (NPI 1144302464) is an individual pediatric critical care medicine provider in Dallas, Texas, licensed in Texas (M3849) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144302464

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameROBERT MYBOE ALISHARAN JR.Credential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7208

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 730-5437

Phone(214) 730-5437

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateDecember 22, 2021

✔ NPI 1144302464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in TX · M3849

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

5323 HARRY HINES BLVD, Dallas, TX 75390

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Myboe Alisharan Jr. Md 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 Reassignment

Medicare enrollment records show Robert Alisharan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

1,422 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant