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DALLAS OBSTETRICS & GYNECOLOGY PA
NPI 1215967583
Obstetrics & Gynecology in Dallas, TX

Active since July 03, 2006
3310 LIVE OAK ST, SUITE 400, DALLAS, TX 75204(972) 613-5379(972) 613-1989 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dallas Obstetrics & Gynecology Pa NPPES

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

DALLAS OBSTETRICS & GYNECOLOGY PA (NPI 1215967583) is a healthcare organization registered as an obstetrics & gynecology in Dallas, Texas and active in the NPI registry since July 2006. The organization lists Margaret Kannady, Billing/insurance Supervisor, as its authorized official.

NPPES Registry Identity

NPI1215967583
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameDALLAS OBSTETRICS & GYNECOLOGY PA
Location Address3310 LIVE OAK ST, SUITE 400Dallas, TX 75204-6153
Mailing Address3310 Live Oak St, Suite 400Dallas, TX 75204-6153 · (972) 613-5379 · Fax (972) 613-1989
Phone(972) 613-5379
Fax(972) 613-1989
Organization SubpartNo
Authorized OfficialMargaret KannadyBilling/insurance Supervisor · (972) 613-5379
Enumeration DateJuly 3, 2006
Last NPPES UpdateJune 18, 2009
✔ NPI 1215967583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · G8117
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.
3310 LIVE OAK ST, Dallas, TX 75204
Open in Google Maps ↗

Other Identifiers 4

Medicaid098466802TX
Other8M5072TX · Bc/bs
Medicare UPINC15810TX
Medicare PIN0A3977TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dallas Obstetrics & Gynecology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dallas Obstetrics & Gynecology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deborah Fuller, M.D.
Obstetrics/Gynecology
NPI 1952326969
7777 FOREST LN STE B430
Dallas, TX 75230
(214) 887-6100
✔ PECOS8.2 mi

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

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 Dallas Obstetrics & Gynecology PA's NPI number?

The NPI number for Dallas Obstetrics & Gynecology PA is 1215967583. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Dallas Obstetrics & Gynecology PA located?

Dallas Obstetrics & Gynecology PA is located at 3310 Live Oak St Suite 400, Dallas, TX 75204. The listed phone number is (972) 613-5379.

What is Dallas Obstetrics & Gynecology PA's specialty?

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

Is Dallas Obstetrics & Gynecology PA enrolled in Medicare?

Yes. Dallas Obstetrics & Gynecology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dallas Obstetrics & Gynecology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Dallas Obstetrics & Gynecology PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dallas Obstetrics & Gynecology PA was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.