ELIZABETH SOUTHWORTH MD
NPI 1154947471
Obstetrics & Gynecology in Dallas, TX

Active since June 23, 2020PECOS Enrolled
5323 HARRY HINES BLVD # G6.206, DALLAS, TX 75390(214) 648-8211 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jul 3, 2024, Apr 15, 2024 and 1 more (4 updates tracked since 2020).

About Elizabeth Southworth Md NPPES

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

ELIZABETH SOUTHWORTH MD (NPI 1154947471) is an individual obstetrics & gynecology provider in Dallas, Texas, licensed in Michigan (4351046130) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2020).

NPPES Registry Identity

NPI1154947471
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameELIZABETH SOUTHWORTHCredential: MD
Location Address5323 HARRY HINES BLVD # G6.206Dallas, TX 75390-5000
Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000 · (734) 936-9434 · Fax (734) 232-0009
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2020
Enumeration DateJune 23, 2020
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1154947471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 4351046130
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5323 HARRY HINES BLVD # G6.206, Dallas, TX 75390

Secondary Practice Location 1

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-9434 · Fax (734) 232-0009

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elizabeth Southworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345662920
PECOS Enrollment IDI20251104003899
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elizabeth Southworth's NPI number?

The NPI number for Elizabeth Southworth is 1154947471. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Elizabeth Southworth located?

Elizabeth Southworth practices at 5323 Harry Hines Blvd # G6.206, Dallas, TX 75390. The listed phone number is (214) 648-8211.

What is Elizabeth Southworth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elizabeth Southworth enrolled in Medicare?

Yes. Elizabeth Southworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Southworth was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.