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DR. PETER TZU-SHIN TSAI MD
NPI 1568659167
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Dallas, TX

Active since September 27, 2007PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 648-7265(214) 648-5080 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter Tzu-shin Tsai Md NPPES

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

DR. PETER TZU-SHIN TSAI MD (NPI 1568659167) is an individual neurology with special qualifications in child neurology provider in Dallas, Texas, licensed in Texas (Q2864) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1568659167
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. PETER TZU-SHIN TSAICredential: MD
Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7201
Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 648-7265 · Fax (214) 648-5080
Phone(214) 648-7265
Fax(214) 648-5080
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 27, 2007
Last NPPES UpdateJanuary 13, 2020
✔ NPI 1568659167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in TX · Q2864✔ Licensed in MA · 245905
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License Q2864 (TX)
5323 HARRY HINES BOULEVARD, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. Peter Tzu-shin Tsai 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 ID8224205869
PECOS Enrollment IDI20150326000435
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 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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. SANDEEP GUTTIKONDA MD
Emergency Medicine
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3916
MS. STEPHANIE GAIL WEST CHESNUT AUD.
Audiologist
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 645-8898
MRS. SONEY ABRAHAM NP
Nurse Practitioner (Family)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3916
MR. SIMON TIZIANI
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3111
ALEX SUTTER MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3433
JACQUELINE TYRA CAIRE M.D.
Radiology (Diagnostic Radiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (469) 757-1000
SADIA MALIK MD
Pediatrics (Pediatric Cardiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 456-2533
SASAN MIRFAKHRAEE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 645-2800

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 Peter Tsai's NPI number?

The NPI number for Peter Tsai is 1568659167. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Peter Tsai located?

Peter Tsai practices at 5323 Harry Hines Boulevard, Dallas, TX 75390. The listed phone number is (214) 648-7265.

What is Peter Tsai's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Peter Tsai enrolled in Medicare?

Yes. Peter Tsai 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 Peter Tsai accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Peter Tsai 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 Peter Tsai was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.