DR. BECKY JO ENNIS M.D.
NPI 1154363570
Pediatrics - Neonatal-Perinatal Medicine in Dallas, TX

Q: What is Becky Ennis's NPI number?

The NPI number for Becky Ennis is 1154363570. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Q: What is Becky Ennis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Becky Ennis was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 11, 2006PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3382 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Becky Jo Ennis M.d. NPPES

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

DR. BECKY JO ENNIS M.D. (NPI 1154363570) is an individual neonatal-perinatal medicine provider in Dallas, Texas, licensed in Texas (L4364) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154363570

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. BECKY JO ENNISCredential: M.D.

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201

Mailing AddressUtsw Billing, Po Box 845347Dallas, TX 75284-5347 · (214) 645-0600 · Fax (214) 645-2762

Phone(214) 648-3382

Sole ProprietorNo

Enumeration DateJune 11, 2006

Last NPPES UpdateApril 4, 2012

✔ NPI 1154363570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in TX · L4364

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

5323 HARRY HINES BLVD, Dallas, TX 75390

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Other Identifiers 1

Medicaid185939901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Becky Jo Ennis 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.

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