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JAMES M. RIZKALLA M.D.
NPI 1285160390
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Dallas, TX

Active since May 10, 2017PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
3500 GASTON AVE, DALLAS, TX 75246(214) 820-2361 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, May 14, 2024, Aug 11, 2022 and 1 more (4 updates tracked since 2017).

About James M. Rizkalla M.d. NPPES

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

JAMES M. RIZKALLA M.D. (NPI 1285160390) is an individual orthopaedic surgery of the spine provider in Dallas, Texas, licensed in Texas (U4323) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285160390
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameJAMES M. RIZKALLACredential: M.D.
Location Address3500 GASTON AVEDallas, TX 75246-2017
Mailing Address3900 Junius St Ste 705Dallas, TX 75246-1627 · (972) 817-7450
Phone(214) 820-2361
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 10, 2017
Last NPPES UpdateOctober 4, 20254 updates tracked since enumeration
NPPES CertifiedOctober 4, 2025
✔ NPI 1285160390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in TX · U4323
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 12772392-1205 (UT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3500 GASTON AVE, Dallas, TX 75246
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare.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

James M. Rizkalla M.d. 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 ID1951679562
PECOS Enrollment IDI20231111000357
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
225 services140 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
72 services62 patients
X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
64 services55 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
64 services51 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
49 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.
Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Dallas County (214) 820-3772
MICHELLE CAIN AGACNP
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2050
DR. MATTHEW PAUL CLEMONS MD
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2361
ROBERT COLE FORE RN
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-0111
JAMES PIERRE D'ETIENNE MD
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2505
DR. JO ANN F. TRAVIS M.D.
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Dallas County (214) 549-4835
ASIF ZIA KHATTAK MD
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-7604
FATIMA KHAN
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (844) 279-3627

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 James Rizkalla's NPI number?

The NPI number for James Rizkalla is 1285160390. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is James Rizkalla located?

James Rizkalla practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-2361.

What is James Rizkalla's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is James Rizkalla enrolled in Medicare?

Yes. James Rizkalla 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 James Rizkalla accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list James Rizkalla 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.

Is James Rizkalla affiliated with any hospitals?

According to CMS data, James Rizkalla is affiliated with Baylor University Medical Center and Baylor Scott & White Medical Center- Waxahachie.

When was this NPI record last updated?

The NPPES record for James Rizkalla was last updated on October 4, 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.