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DR. MARIA RITA LEPE SUASTEGUI M.D.
NPI 1396799847
Internal Medicine - Hepatology in Dallas, TX

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
8200 WALNUT HILL LN, DALLAS, TX 75231(214) 645-0595(214) 648-4131 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Feb 14, 2023, Aug 24, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Maria Rita Lepe Suastegui M.d. NPPES

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

DR. MARIA RITA LEPE SUASTEGUI M.D. (NPI 1396799847) is an individual hepatology provider in Dallas, Texas, licensed in Texas (L9316) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (1995).

NPPES Registry Identity

NPI1396799847
Entity TypeIndividualFemale
Primary Taxonomy207RI0008X
Provider Legal NameDR. MARIA RITA LEPE SUASTEGUICredential: M.D.
Location Address8200 WALNUT HILL LNDallas, TX 75231-4402
Mailing AddressPo Box 845347Dallas, TX 75284-7208 · (214) 345-5634 · Fax (214) 648-4131
Phone(214) 645-0595
Fax(214) 648-4131
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 20, 2006
Last NPPES UpdateMay 1, 20244 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1396799847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License✔ Licensed in TX · L9316
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License L9316 (TX)
8200 WALNUT HILL LN, Dallas, TX 75231
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Other Identifiers 3

Medicaid166783401TX
Medicaid166783402TX
Other8P0441TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Maria Rita Lepe Suastegui 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 ID7113992603
PECOS Enrollment IDI20040828000055
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 9

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
82 services52 patients
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.
75 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services16 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.
23 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services13 patients

Hospital Affiliations CMS Care Compare 2

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas 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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

MUPPIDI REHAB, PLLC
Physical Medicine & Rehabilitation
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-6789
DR. JOYZELLE HEROD MCCREARY PH.D.
Psychologist (Clinical)
8200 WALNUT HILL LN, DEPARTMENT OF PSYCHIATRY
DALLAS, TX 75231
Dallas County (214) 345-7355
DR. TIMOTHY A. MOORE M.D.
Anesthesiology
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-6148
LISA-ANN WUERMSER MD
Physical Medicine & Rehabilitation
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (763) 520-0453
DARREN IMPHEAN MD
Student in an Organized Health Care Education/Training Program
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-6789
MRS. MEREDITH DOERRIES RATLIFF
Dietitian, Registered
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-7413
DR. ZAID SHAH DO
Internal Medicine
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (817) 881-3127
DR. URSZULA BARBARA KELLEY M.D.
Psychiatry & Neurology (Psychiatry)
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-7355

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 Maria Lepe Suastegui's NPI number?

The NPI number for Maria Lepe Suastegui is 1396799847. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Maria Lepe Suastegui located?

Maria Lepe Suastegui practices at 8200 Walnut Hill Ln, Dallas, TX 75231. The listed phone number is (214) 645-0595.

What is Maria Lepe Suastegui's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Maria Lepe Suastegui enrolled in Medicare?

Yes. Maria Lepe Suastegui 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 Maria Lepe Suastegui accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Maria Lepe Suastegui 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 Maria Lepe Suastegui affiliated with any hospitals?

According to CMS data, Maria Lepe Suastegui is affiliated with Ut Southwestern University Hospital - William P. Clements Jr. and Texas Health Presbyterian Hospital Dallas.

When was this NPI record last updated?

The NPPES record for Maria Lepe Suastegui was last updated on May 1, 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.