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OPTIMAL WEIGHT LOSS AND SURGERY CONSULTANTS LLC
NPI 1457107765
Surgery in Dallas, TX

Active since April 26, 2024
12606 GREENVILLE AVE STE 205, DALLAS, TX 75243(214) 971-8802(949) 703-7227 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2024, Jul 4, 2024, Apr 26, 2024 (3 updates tracked since 2024).

About Optimal Weight Loss And Surgery Consultants Llc NPPES

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

OPTIMAL WEIGHT LOSS AND SURGERY CONSULTANTS LLC (NPI 1457107765) is a healthcare organization registered as a surgery in Dallas, Texas and active in the NPI registry since April 2024. The organization lists Tarik Al-kalla, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1457107765
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameOPTIMAL WEIGHT LOSS AND SURGERY CONSULTANTS LLC
Location Address12606 GREENVILLE AVE STE 205Dallas, TX 75243-1927
Mailing Address12606 Greenville Ave Ste 205Dallas, TX 75243-1927 · (214) 971-8802 · Fax (949) 703-7227
Phone(214) 971-8802
Fax(949) 703-7227
Organization SubpartNo
Authorized OfficialTarik Al-kallaBusiness Owner · (281) 650-7144
Enumeration DateApril 26, 2024
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1457107765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12606 GREENVILLE AVE STE 205, Dallas, TX 75243
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Optimal Weight Loss And Surgery Consultants Llc 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 Optimal Weight Loss And Surgery Consultants LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tarik Al-Kalla, M.D.
General Surgery
NPI 1760726418
12606 GREENVILLE AVE STE 205
Dallas, TX 75243
(214) 971-8802
✔ PECOS✔ Accepts MedicareSame address

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 Optimal Weight Loss And Surgery Consultants LLC's NPI number?

The NPI number for Optimal Weight Loss And Surgery Consultants LLC is 1457107765. It was assigned to this organization in the NPPES registry on April 26, 2024.

Where is Optimal Weight Loss And Surgery Consultants LLC located?

Optimal Weight Loss And Surgery Consultants LLC is located at 12606 Greenville Ave Ste 205, Dallas, TX 75243. The listed phone number is (214) 971-8802.

What is Optimal Weight Loss And Surgery Consultants LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Optimal Weight Loss And Surgery Consultants LLC enrolled in Medicare?

Yes. Optimal Weight Loss And Surgery Consultants LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimal Weight Loss And Surgery Consultants LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Optimal Weight Loss And Surgery Consultants LLC. 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 Optimal Weight Loss And Surgery Consultants LLC was last updated on September 11, 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.