NORTH DALLAS EAR, NOSE, AND THROAT PA
NPI 1609897727
Otolaryngology in Richardson, TX

Active since July 22, 2006CLIA 45D1039309 · Waiver
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 509, RICHARDSON, TX 75082(972) 480-8877 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Dallas Ear, Nose, And Throat Pa NPPES

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

NORTH DALLAS EAR, NOSE, AND THROAT PA (NPI 1609897727) is a healthcare organization registered as an otolaryngology in Richardson, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Morris Gottlieb, President, as its authorized official.

NPPES Registry Identity

NPI1609897727
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameNORTH DALLAS EAR, NOSE, AND THROAT PA
Location Address2821 E PRESIDENT GEORGE BUSH HWY, SUITE 509Richardson, TX 75082-4266
Mailing AddressPo Box 25887Oklahoma City, OK 73125-0887
Organization SubpartNo
Authorized OfficialMorris GottliebPresident · (972) 480-8877
Enumeration DateJuly 22, 2006
Last NPPES UpdateMay 4, 2011
✔ NPI 1609897727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2821 E PRESIDENT GEORGE BUSH HWY, Richardson, TX 75082

Other Identifiers 4

Medicare ID-Type Unspecified00330XTX
OtherDC1384TX · Medicare Railroad
Medicaid1678864-01TX
Other0076LTTX · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Dallas Ear, Nose, And Throat Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20041005001044Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Dallas Ear, Nose, And Throat PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1083652317
2821 E PRESIDENT GEORGE BUSH HWY SUITE 509
Richardson, TX 75082
(972) 480-8877
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

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 45D1039309

North Dallas Ear Nose And Throat · Richardson, TX
Active · expires Apr 10, 2027
CLIA Number45D1039309
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorMorris B. Gottlieb
Laboratory Phone(972) 480-8877
Laboratory LocationNorth Dallas Ear Nose And Throat2821 E President George Bush Hwy, Richardson, TX 75082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 North Dallas Ear, Nose, And Throat PA's NPI number?

The NPI number for North Dallas Ear, Nose, And Throat PA is 1609897727. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is North Dallas Ear, Nose, And Throat PA located?

North Dallas Ear, Nose, And Throat PA is located at 2821 E President George Bush Hwy Suite 509, Richardson, TX 75082. The listed phone number is (972) 480-8877.

What is North Dallas Ear, Nose, And Throat PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is North Dallas Ear, Nose, And Throat PA enrolled in Medicare?

Yes. North Dallas Ear, Nose, And Throat PA is registered in the Medicare PECOS enrollment system.

When is North Dallas Ear, Nose, And Throat PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through North Dallas Ear, Nose, And Throat PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to North Dallas Ear, Nose, And Throat PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Dallas Ear, Nose, And Throat PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1039309) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Dallas Ear, Nose, And Throat PA was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.