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PROF. KALLENE SUMMER MOREIRA VIDAL MD,PHD
NPI 1497604938
Psychiatry & Neurology - Psychiatry in Dallas, TX

Active since January 27, 2026PECOS Enrolled
1430 EMPIRE CENTRAL DR, DALLAS, TX 75247(214) 645-8500(214) 648-3775 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prof. Kallene Summer Moreira Vidal Md,phd NPPES

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

PROF. KALLENE SUMMER MOREIRA VIDAL MD,PHD (NPI 1497604938) is an individual psychiatry provider in Dallas, Texas, licensed in Texas (48643) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497604938
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePROF. KALLENE SUMMER MOREIRA VIDALCredential: MD,PHD
Location Address1430 EMPIRE CENTRAL DRDallas, TX 75247-4032
Mailing Address3440 Rankin St Apt BDallas, TX 75205-1288 · (214) 648-3775 · Fax (214) 648-3775
Phone(214) 645-8500
Fax(214) 648-3775
Sole ProprietorYes
Enumeration DateJanuary 27, 2026
Last NPPES UpdateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1497604938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · 48643
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1430 EMPIRE CENTRAL DR, Dallas, TX 75247
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prof. Kallene Summer Moreira Vidal Md,phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75247 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
$172.86 typical visit price
range $57.18 – $172.86
Typical copayment $43.21 (range $14.29 – $43.21)
Most-billed visit code 99205
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

DR. TAREK K RAJJI MD
Psychiatry & Neurology (Psychiatry)
1430 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 645-8500
MISS AMANDA BOWER
Social Worker (Clinical)
1430 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 645-8500
DESTINY J PRICE MD
Psychiatry & Neurology (Psychiatry)
1430 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 645-8500
CHRISTOPHER FRANKLIN GOSSETT APRN
Nurse Practitioner (Psychiatric/Mental Health)
1430 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 645-8500
ALEX PRESTON
Psychiatry & Neurology (Psychiatry)
1430 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 645-8500
DR. LESSLEY CHIRIBOGA M.D.
Psychiatry & Neurology (Psychiatry)
1430 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 645-8500
YESENIA KOHLI
Nurse Practitioner (Psychiatric/Mental Health)
1430 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 645-8500
ABIGAIL NEVINS PA
Physician Assistant
1430 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 645-8500

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 Kallene Summer Moreira Vidal's NPI number?

The NPI number for Kallene Summer Moreira Vidal is 1497604938. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Kallene Summer Moreira Vidal located?

Kallene Summer Moreira Vidal practices at 1430 Empire Central Dr, Dallas, TX 75247. The listed phone number is (214) 645-8500.

What is Kallene Summer Moreira Vidal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kallene Summer Moreira Vidal enrolled in Medicare?

Yes. Kallene Summer Moreira Vidal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kallene Summer Moreira Vidal was last updated on January 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.