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LUIS ALFREDO UMANA M.D
NPI 1710145362
Medical Genetics - Clinical Genetics (M.D.) in Dallas, TX

Active since May 30, 2008PECOS Enrolled
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 456-9093(214) 456-2567 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2026, Apr 22, 2024 (2 updates tracked since 2024).

About Luis Alfredo Umana M.d NPPES

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

LUIS ALFREDO UMANA M.D (NPI 1710145362) is an individual clinical genetics (m.d.) provider in Dallas, Texas, licensed in Texas (N7888) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710145362
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameLUIS ALFREDO UMANACredential: M.D
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078
Phone(214) 456-9093
Fax(214) 456-2567
Sole ProprietorNo
Enumeration DateMay 30, 2008
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1710145362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in TX · N7888
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedMedical Genetics · Medical Biochemical GeneticsTaxonomy 207SG0207X · License N7888 (TX)
Also ListedPediatricsTaxonomy 208000000X · License N7888 (TX)
5323 HARRY HINES BLVD, Dallas, TX 75390
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Alfredo Umana M.d 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.

Medicare Billing Reassignment

Medicare enrollment records show Luis Umana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Southwestern Medical Center At Dallas
Same address
Anatomic Pathology & Clinical Pathology
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1104891050 (214) 645-0624

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

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. ALECIA CURLENE NERO M.D.
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-4180
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771
ALEX KOYFMAN M.D.
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-0624

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 Luis Umana's NPI number?

The NPI number for Luis Umana is 1710145362. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Luis Umana located?

Luis Umana practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 456-9093.

What is Luis Umana's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Luis Umana enrolled in Medicare?

Yes. Luis Umana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luis Umana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Umana reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). The 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 Luis Umana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Umana accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Luis Umana 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 Luis Umana was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.