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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DALLAS BROADWAY M.D.
NPI 1366646416
Radiology - Diagnostic Radiology in New York, NY

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
622 W 168TH ST, NEW YORK, NY 10032, NEW YORK, NY 10032(877) 426-5637 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, May 14, 2026, Nov 3, 2021 and 1 more (4 updates tracked since 2021).

About Dallas Broadway M.d. NPPES

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

DALLAS BROADWAY M.D. (NPI 1366646416) is an individual diagnostic radiology provider in New York, New York, licensed in New York (249640) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1366646416
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDALLAS BROADWAYCredential: M.D.
Location Address622 W 168TH ST, NEW YORK, NY 10032New York, NY 10032
Mailing Address1010 Nw Loop 410 Ste 100bSan Antonio, TX 78213-2220 · (210) 465-7015 · Fax (210) 465-7014
Phone(877) 426-5637
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJune 13, 2007
Last NPPES UpdateJune 30, 20264 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1366646416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 249640
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License P8223 (TX)
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License 25MA09187400 (NJ), 249640 (NY)
622 W 168TH ST, NEW YORK, NY 10032, New York, NY 10032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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

Dallas Broadway 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 ID1052577723
PECOS Enrollment IDI20191115001832
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.

Hospital Affiliations CMS Care Compare 5

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450855
Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES

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

ALICE ZHANG
Student in an Organized Health Care Education/Training Program
622 W 168TH ST, NEW YORK, NY 10032
NEW YORK, NY 10032
New York County (212) 305-6100

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 Broadway's NPI number?

The NPI number for Dallas Broadway is 1366646416. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Dallas Broadway located?

Dallas Broadway practices at 622 W 168th St, New York, Ny 10032, New York, NY 10032. The listed phone number is (877) 426-5637.

What is Dallas Broadway's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Dallas Broadway enrolled in Medicare?

Yes. Dallas Broadway 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 Dallas Broadway accept?

Health plans from Imperial Insurance Companies, Inc. list Dallas Broadway 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 Dallas Broadway affiliated with any hospitals?

According to CMS data, Dallas Broadway is affiliated with Christus Southeast Texas- St Elizabeth, Mission Regional Medical Center, Christus Santa Rosa Hospital-San Marcos, Corpus Christi Medical Center,the and Harlingen Medical Center.

When was this NPI record last updated?

The NPPES record for Dallas Broadway was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.