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DAVID A ENGLEMAN MD
NPI 1427095603
Internal Medicine in Irving, TX

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
6161 N HIGHWAY 161, IRVING, TX 75038(972) 258-7499(972) 257-0897 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2018, May 8, 2018 (2 updates tracked since 2018).

About David A Engleman Md NPPES

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

DAVID A ENGLEMAN MD (NPI 1427095603) is an individual internal medicine provider in Irving, Texas, licensed in Texas (J7947) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (1990).

NPPES Registry Identity

NPI1427095603
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID A ENGLEMANCredential: MD
Location Address6161 N HIGHWAY 161Irving, TX 75038
Mailing Address6161 N State Highway 161Irving, TX 75038-2220 · (972) 258-7499 · Fax (972) 257-0897
Phone(972) 258-7499
Fax(972) 257-0897
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1990
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 24, 20182 updates tracked since enumeration
✔ NPI 1427095603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J7947
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License J7947 (TX)
6161 N HIGHWAY 161, Irving, TX 75038
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Other Identifiers 3

OtherJ7947TX · License
OtherP00264559TX · Rr Mcare
Other3321505TX · Blue Link

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

David A Engleman 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 ID5294791117
PECOS Enrollment IDI20041202000669
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 3

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.
72 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
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 2

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

DR. DAVID ALEXANDER DEEMS MD
Family Medicine
6161 N HIGHWAY 161
IRVING, TX 75038
Dallas County (972) 258-7499
MRS. SHERRY LYNNETTE MASTERSON PA-C
Physician Assistant (Medical)
6161 N HIGHWAY 161
IRVING, TX 75038
Dallas County (972) 258-7499

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 David Engleman's NPI number?

The NPI number for David Engleman is 1427095603. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is David Engleman located?

David Engleman practices at 6161 N Highway 161, Irving, TX 75038. The listed phone number is (972) 258-7499.

What is David Engleman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Engleman enrolled in Medicare?

Yes. David Engleman 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 David Engleman 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 4 other insurers list David Engleman 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 David Engleman was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.