SOUTHLAKE EMERGICARE PLLC
NPI 1598172033
Emergency Medicine in Southlake, TX

Active since July 16, 2014
1545 E SOUTHLAKE BLVD, ER DEPT, SOUTHLAKE, TX 76092(817) 748-8700 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southlake Emergicare Pllc NPPES

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

SOUTHLAKE EMERGICARE PLLC (NPI 1598172033) is a healthcare organization registered as an emergency medicine in Southlake, Texas and active in the NPI registry since July 2014. The organization lists Daniel E Peckenpaugh, Director, as its authorized official.

NPPES Registry Identity

NPI1598172033
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTHLAKE EMERGICARE PLLC
Location Address1545 E SOUTHLAKE BLVD, ER DEPTSouthlake, TX 76092-6422
Mailing AddressPo Box 720508Norman, OK 73070-4373 · (877) 485-4474 · Fax (405) 341-9217
Organization SubpartNo
Authorized OfficialDaniel E PeckenpaughDirector · (877) 485-4474
Enumeration DateJuly 16, 2014
Last NPPES UpdateNovember 7, 2019
✔ NPI 1598172033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1545 E SOUTHLAKE BLVD, Southlake, TX 76092

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southlake Emergicare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Southlake Emergicare PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Emergency Medicine13
Family Practice1

Clinicians, nearest first (14)

Emergency Medicine
NPI 1659328060
505 REGENCY XING
Southlake, TX 76092
(817) 913-6144
✔ PECOS2.6 mi
Family Practice
NPI 1881646255
1545 E SOUTHLAKE BLVD STE 110
Southlake, TX 76092
(817) 600-8725
✔ PECOS2.7 mi
Emergency Medicine
NPI 1215903075
1545 E SOUTHLAKE BLVD
Southlake, TX 76092
(817) 557-8205
✔ PECOS2.7 mi
Emergency Medicine
NPI 1437125218
1600 HOSPITAL PKWY
Bedford, TX 76022
(817) 848-4000
✔ PECOS✔ Accepts Medicare7.9 mi
Emergency Medicine
NPI 1386610954
1600 HOSPITAL PKWY
Bedford, TX 76022
(817) 685-4619
✔ PECOS8.0 mi
Emergency Medicine
NPI 1477538296
5 TWIN SPRINGS DR
Dalworthington Gardens, TX 76016
(817) 467-0527
✔ PECOS✔ Accepts Medicare18 mi
Emergency Medicine
NPI 1477671634
5323 HARRY HINES BLVD SLOT 8890 DIVISION OF EMERGENCY MEDICINE
Dallas, TX 75390
(214) 822-6929
✔ PECOS✔ Accepts Medicare22 mi
Emergency Medicine
NPI 1992771745
2700 E ELDORADO PKWY STE 104
Little Elm, TX 75068
(972) 987-4935
✔ PECOS23 mi
Emergency Medicine
NPI 1205967569
1441 N BECKLEY AVE
Dallas, TX 75203
(214) 942-5733
✔ PECOS✔ Accepts Medicare24 mi
Emergency Medicine
NPI 1023050440
2900 S LOOP 256
Palestine, TX 75801
(903) 731-1144
✔ PECOS✔ Accepts Medicare123 mi
Emergency Medicine
NPI 1093908998
4502 E 41ST ST
Tulsa, OK 74135
(918) 744-2548
✔ PECOS✔ Accepts Medicare229 mi
Emergency Medicine
NPI 1376582031
8026 FLOYD CURL
San Antonio, TX 78229
(210) 558-6288
✔ PECOS250 mi
Emergency Medicine
NPI 1861513830
3214 E RACE AVE
Searcy, AR 72143
(501) 268-6121
✔ PECOS✔ Accepts Medicare352 mi
Emergency Medicine
NPI 1568789147
117 CARY HALL, 3435 MAIN STREET
Buffalo, NY 14214
(716) 829-2012
✔ PECOS✔ Accepts Medicare1,213 mi

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 Southlake Emergicare PLLC's NPI number?

The NPI number for Southlake Emergicare PLLC is 1598172033. It was assigned to this organization in the NPPES registry on July 16, 2014.

Where is Southlake Emergicare PLLC located?

Southlake Emergicare PLLC is located at 1545 E Southlake Blvd ER Dept, Southlake, TX 76092. The listed phone number is (817) 748-8700.

What is Southlake Emergicare PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Southlake Emergicare PLLC enrolled in Medicare?

Yes. Southlake Emergicare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southlake Emergicare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Southlake Emergicare PLLC. 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. The largest specialties are Emergency Medicine (13) and Family Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southlake Emergicare PLLC was last updated on November 7, 2019. 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.