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DR. MICHAEL BOOTH MD
NPI 1184073629
Family Medicine in Grand Prairie, TX

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
2520 W I 20, GRAND PRAIRIE, TX 75052(722) 645-8589(972) 264-8800 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2024, Jul 21, 2022, Aug 23, 2017 (3 updates tracked since 2017).

About Dr. Michael Booth Md NPPES

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

DR. MICHAEL BOOTH MD (NPI 1184073629) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (S3124) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2016).

NPPES Registry Identity

NPI1184073629
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL BOOTHCredential: MD
Location Address2520 W I 20Grand Prairie, TX 75052-7280
Mailing Address2520 W I 20Grand Prairie, TX 75052-7280 · (972) 264-5858 · Fax (972) 264-8800
Phone(722) 645-8589
Fax(972) 264-8800
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateApril 10, 20243 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1184073629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · S3124
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2520 W I 20, Grand Prairie, TX 75052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Booth Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103199005
PECOS Enrollment IDI20230509003113
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 75052 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 6

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

MICHAEL OWUSU AGYEMANG APRN
Nurse Practitioner (Primary Care)
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 264-5858
MEHA PATEL PA-C
Physician Assistant
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 539-6330
MICHAEL G OMOTOLA PA-C
Physician Assistant
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (512) 363-3257
MS. ANGELA LAYTON HYDEN PA
Physician Assistant
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 264-5858
AVNEET GILL MD
General Practice
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 264-5858
SAREENA SIYAS MD
Family Medicine
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 264-5858

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 Michael Booth's NPI number?

The NPI number for Michael Booth is 1184073629. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Michael Booth located?

Michael Booth practices at 2520 W I 20, Grand Prairie, TX 75052. The listed phone number is (722) 645-8589.

What is Michael Booth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Booth enrolled in Medicare?

Yes. Michael Booth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Booth accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Booth 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 Michael Booth was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.