DR. KATHLEEN ELIZABETH VANDIVER M.D.
NPI 1487845988
Pediatrics in Dallas, TX

Q: What is Kathleen Vandiver's NPI number?

The NPI number for Kathleen Vandiver is 1487845988. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Q: What is Kathleen Vandiver's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Vandiver was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 08, 2007PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 456-6993(214) 456-6390 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Kathleen Elizabeth Vandiver M.d. NPPES

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

DR. KATHLEEN ELIZABETH VANDIVER M.D. (NPI 1487845988) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (N3368) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487845988

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KATHLEEN ELIZABETH VANDIVERCredential: M.D.

Location Address5323 HARRY HINES BLVDDallas, TX 75390-9063

Mailing Address2202 White Cliff DrRichardson, TX 75080-2557 · (214) 477-2526

Phone(214) 456-6993

Fax(214) 456-6390

Sole ProprietorNo

Enumeration DateAugust 8, 2007

Last NPPES UpdateDecember 2, 2009

✔ NPI 1487845988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · N3368

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5323 HARRY HINES BLVD, Dallas, TX 75390

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen Elizabeth Vandiver M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Kathleen Vandiver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas

Same address

Orthopaedic Surgery

5323 HARRY HINES BLVD
Dallas, TX 75390

Reassigned Medicare billing, Texas enrollment
5,299 clinicians in this Medicare group

NPI 1083669766 (214) 645-0624

Dallas Physician Medical Services For Children Inc

0.1 mi

Pediatrics

1935 MEDICAL DISTRICT DR
Dallas, TX 75235

Reassigned Medicare billing, Texas enrollment
424 clinicians in this Medicare group

NPI 1194153650 (214) 456-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

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 20

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

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant