UT SOUTHWESTERN
NPI 1477091452
Nurse Practitioner - Acute Care in Dallas, TX

Active since February 09, 2017CLIA Certified · 6 labs
5323 HARRY HINES BLVD, DALLAS, TX 75390(210) 677-5410 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ut Southwestern NPPES

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

UT SOUTHWESTERN (NPI 1477091452) is a healthcare organization registered as an acute care in Dallas, Texas and active in the NPI registry since February 2017. The organization holds 6 active CLIA laboratory certificates and lists Michael Rubin, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1477091452
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameUT SOUTHWESTERN
Location Address5323 HARRY HINES BLVDDallas, TX 75390-8813
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-8813 · (210) 677-5410
Organization SubpartNo
Authorized OfficialMichael RubinSupervisor · (214) 648-6410
Enumeration DateFebruary 9, 2017
NPI 1477091452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 701376
5323 HARRY HINES BLVD, Dallas, TX 75390

Other Identifiers 1

Medicare NSC1972848760TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2113636

Ut Southwestern Med Center Clinical Laboratory Ser Outpatient Building · Dallas, TX
Active · expires May 25, 2028
CLIA Number45D2113636
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorJyoti P. Balani
Laboratory Phone(214) 633-4913
Laboratory LocationUt Southwestern Med Center Clinical Laboratory Ser Outpatient Building1801 Inwood Road, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0977815

Ut Southwestern - Internal Medicine Subspecilties Clinic · Dallas, TX
Active · expires Oct 28, 2027
CLIA Number45D0977815
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorSadia Ali
Laboratory Phone(214) 645-2830
Laboratory LocationUt Southwestern - Internal Medicine Subspecilties Clinic2001 Inwood Road, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2288377

Ut Southwestern - Multidisciplinary Pain Clinic · Dallas, TX
Active · expires Aug 23, 2027
CLIA Number45D2288377
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorAmol Patwardhan
Laboratory Phone(469) 852-0110
Laboratory LocationUt Southwestern - Multidisciplinary Pain Clinic2201 Inwood Road Suite Nc3 140, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2058376

Ut Southwestern Fertility & Advanced Reproductive Medicine · Dallas, TX
Active · expires May 5, 2027
CLIA Number45D2058376
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorOrhan Bukulmez
Laboratory Phone(214) 645-3811
Laboratory LocationUt Southwestern Fertility & Advanced Reproductive Medicine1801 Inwood Rd, Wa6 632, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 45D0659579

Ut Southwestern Zale Lipshy Pavilion William P Clements J Univ · Dallas, TX
Active · expires Feb 27, 2027
CLIA Number45D0659579
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Ravindra Sarode
Laboratory Phone(214) 633-4913
Laboratory LocationUt Southwestern Zale Lipshy Pavilion William P Clements J Univ5151 Harry Hines Boulevard, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D0665307

Ut Southwestern Med Center Clinical Laboratory Ser William P Clements Jr University · Dallas, TX
Active · expires Jan 2, 2027
CLIA Number45D0665307
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Ravindra Sarode
Laboratory Phone(214) 633-4913
Laboratory LocationUt Southwestern Med Center Clinical Laboratory Ser William P Clements Jr University6201 Harry Hines Blvd, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390

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 Ut Southwestern's NPI number?

The NPI number for Ut Southwestern is 1477091452. It was assigned to this organization in the NPPES registry on February 9, 2017.

Where is Ut Southwestern located?

Ut Southwestern is located at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (210) 677-5410.

What is Ut Southwestern's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Does Ut Southwestern hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ut Southwestern was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.