UTSW MEDICAL CENTER AT DALLAS PEDIATRICS
NPI 1750351375
Pediatrics in Dallas, TX

NPI Status: Active since January 25, 2006

Contact Information

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 645-0624
Fax: (214) 645-0078

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  • Organization
  • Pediatrics
  • Accepts Insurance

About UTSW MEDICAL CENTER AT DALLAS PEDIATRICS

This page provides the complete NPI Profile along with additional information for Utsw Medical Center At Dallas Pediatrics, a pediatrician established in Dallas, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1750351375 assigned on January 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Utsw Medical Center At Dallas Pediatrics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Utsw Medical Center At Dallas Pediatrics. The authorized official of this NPI record is Bruce A. Meyer M.d. (Executive Vice President)

NPI
1750351375
Provider Legal Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Other Organization Name
UTSW MEDICAL CENTER AT DALLAS PEDIATRICS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5323 HARRY HINES BLVD DALLAS, TX 75390
Location Phone
(214) 645-0624
Location Fax
(214) 645-0078
Mailing Address
PO BOX 845347 DALLAS, TX 75284
Mailing Phone
(214) 645-0624
Mailing Fax
(214) 645-0078
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-25-2006
Last Update Date
08-01-2023
Code Navigator

A pediatrician like Utsw Medical Center At Dallas Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
22080P0214XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Pulmonology

 
32084N0402XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology with Special Qualifications in Child Neurology

 
42084S0012XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Sleep Medicine

 
5363LP0222XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics, Critical Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear VALUE Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Complete VALUE Gold - HMO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete VALUE Gold - HMO
  • Complete VALUE Silver - HMO
  • Elite VALUE Bronze - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze VALUE - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRUCE A. MEYER M.D.

Authorized Official Title
EXECUTIVE VICE PRESIDENT
Authorized Official Phone
(214) 645-0624

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
083449101MEDICAID (05)TX 

Reviews for UTSW MEDICAL CENTER AT DALLAS PEDIATRICS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750351375
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100652314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 5 + 2 + 3 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1750351375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KEVIN GINGRICH M.D.

Anesthesiology

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 648-7833

DR. BRUCE A MEYER M.D.

Obstetrics & Gynecology

(Maternal & Fetal Medicine)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 648-9794

GREGORY A MILLNAMOW MD

Radiology

(Diagnostic Radiology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 648-8018

SUNATI SAHOO MD

Pathology

(Anatomic Pathology & Clinical Pathology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 590-8607

MS. PIA BANERJI M.S., C.G.C

Genetic Counselor, MS

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 648-1998

YISHENG V FANG MD

Pathology

(Immunopathology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 590-8651

DR. IMRAN R. KHAWAJA MD

Internal Medicine

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-5777

DR. SARA ANTOINETTE MONAGHAN MD

Pathology

(Hematology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-6312

DR. ALLEN FRANK MOREY MD

Urology

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-8765

DR. MICHAEL F ZIDE DMD

Dentist

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 648-3034

ORSON W MOE MD

Internal Medicine

(Nephrology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-8600

WILLIS CROCKER MADDREY MD

Internal Medicine

(Hepatology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-0624

ROBERT DANIEL TOTO MD

Internal Medicine

(Nephrology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-2888

CYNTHIA JEAN RUTHERFORD MD

Internal Medicine

(Hematology & Oncology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-8600

JOSEPH ERRICK RAVENELL MD

Internal Medicine

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-2888

JOHN DOUGLAS RUTHERFORD MD

Internal Medicine

(Cardiovascular Disease)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-8000

JONATHAN EDWARDS DOWELL MD

Internal Medicine

(Hematology & Oncology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-8600

BARBARA JEAN HALEY MD

Internal Medicine

(Hematology & Oncology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-8600

CHRISTOPHER YU-HUA LU MD

Internal Medicine

(Nephrology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 648-3959

REBECCA SUE GRUCHALLA MD PHD

Internal Medicine

(Allergy & Immunology)

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390

(214) 645-2866

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750351375, enumerated as an "organization" on January 25, 2006.

The provider is located at 5323 HARRY HINES BLVD DALLAS, TX 75390 and the phone number is (214) 645-0624.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.