UMERA GHOUSE M.D.
NPI 1629283205
Family Medicine in Dallas, TX

Q: What is Umera Ghouse's NPI number?

The NPI number for Umera Ghouse is 1629283205. It was assigned to this individual provider in the NPPES registry on May 14, 2007. The provider is also known as Umera Ghouse M.D..

Q: What is Umera Ghouse's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Umera Ghouse was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 May 14, 2007PECOS EnrolledAccepts Medicare Assignment

90.13/100

CMS Quality Rating

3320 LIVE OAK ST, DALLAS, TX 75204(214) 266-1000 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Umera Ghouse M.d. NPPES

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

UMERA GHOUSE M.D. (NPI 1629283205) is an individual family medicine provider in Dallas, Texas, licensed in Texas (N4427) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1629283205

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameUMERA GHOUSECredential: M.D.

Location Address3320 LIVE OAK STDallas, TX 75204-6109

Mailing AddressPo Box 660599Dallas, TX 75266-0599

Phone(214) 266-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 14, 2007

Last NPPES UpdateFebruary 28, 2013

✔ NPI 1629283205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · N4427✔ Licensed in OH · 094047

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3320 LIVE OAK ST, Dallas, TX 75204

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Other Names 1

Other Name (5)Umera Ghouse M.d.

Other Identifiers 11

Medicaid211239304TX

Medicare PIN8L24954TX

Medicaid211239306TX

Medicaid211239301TX

Medicaid211239302TX

Medicaid211239307TX

Medicaid211239309TX

Medicaid211239305TX

Medicare PINTXB149369TX

Medicaid211239303TX

Medicaid211239308TX

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

Umera Ghouse M.d. 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 ID9436286853

PECOS Enrollment IDI20100416000121

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450015

Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75204 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.

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.

90.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.11

Promoting Interoperability

Improvement Activities

Cost

63.49

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers29 claims59 services$5.56 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers11 claims13 services$1.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

WEI GONG M.D.

Pediatrics

3320 LIVE OAK ST
DALLAS, TX 75204

Dallas County (214) 266-1080

DR. NOEL O. SANTINI MD

Internal Medicine