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DR. LEANN KRIDELBAUGH MD
NPI 1174627699
Pediatrics in Dallas, TX

Active since September 13, 2006PECOS Enrolled
2750 W. NORTHWEST HWY, SUITE 170, DALLAS, TX 75220(214) 654-0007(214) 654-9272 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Leann Kridelbaugh Md NPPES

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

DR. LEANN KRIDELBAUGH MD (NPI 1174627699) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (J8629) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174627699
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LEANN KRIDELBAUGHCredential: MD
Location Address2750 W. NORTHWEST HWY, SUITE 170Dallas, TX 75220-4783
Mailing Address7547 Greenbrier DrDallas, TX 75225-4514 · (214) 692-5361 · Fax (214) 456-6819
Phone(214) 654-0007
Fax(214) 654-9272
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateAugust 3, 2011
✔ NPI 1174627699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · J8629
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2750 W. NORTHWEST HWY, Dallas, TX 75220
Open in Google Maps ↗

Other Identifiers 7

Other176920001TX · Tpi
Medicaid139112017TX
Medicare UPING134350TX
Medicaid139112020TX
Medicaid139112019TX
Medicaid139112021TX
Medicaid139112026TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leann Kridelbaugh 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 Leann Kridelbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samuel U. Rodgers Health Center, Inc.
448 mi
Federally Qualified Health Center (FQHC)
2121 SUMMIT ST
Kansas City, MO 64108
  • Reassigned Medicare billing, Missouri enrollment
  • 78 clinicians in this Medicare group
NPI 1073950135 (816) 471-0900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75220 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DARIA IVANOVA ALEXANDROVA M.D.
Pediatrics
2750 W. NORTHWEST HWY, SUITE 170
DALLAS, TX 75220
Dallas County (214) 654-0007

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 Leann Kridelbaugh's NPI number?

The NPI number for Leann Kridelbaugh is 1174627699. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Leann Kridelbaugh located?

Leann Kridelbaugh practices at 2750 W. Northwest Hwy Suite 170, Dallas, TX 75220. The listed phone number is (214) 654-0007.

What is Leann Kridelbaugh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Leann Kridelbaugh enrolled in Medicare?

Yes. Leann Kridelbaugh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leann Kridelbaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leann Kridelbaugh reassigns Medicare benefits to Samuel U. Rodgers Health Center, Inc. (Kansas City, MO). The 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 Leann Kridelbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leann Kridelbaugh accept?

Health plans from Antidote Health of TX list Leann Kridelbaugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leann Kridelbaugh was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.