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PHILIP S FULLER MD
NPI 1760592216
Pediatrics in Southlake, TX

Active since August 30, 2006PECOS Enrolled
2727 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(682) 885-6000(682) 885-6050 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2024, May 10, 2021, Apr 9, 2021 (3 updates tracked since 2021).

About Philip S Fuller Md NPPES

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

PHILIP S FULLER MD (NPI 1760592216) is an individual pediatrics provider in Southlake, Texas, licensed in Texas (E0922) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760592216
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePHILIP S FULLERCredential: MD
Location Address2727 E SOUTHLAKE BLVDSouthlake, TX 76092-6613
Mailing AddressPo Box 99213Fort Worth, TX 76199-0213 · (682) 885-1860 · Fax (682) 885-1396
Phone(682) 885-6000
Fax(682) 885-6050
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1760592216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · E0922
Definition
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.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License E0922 (TX)
2727 E SOUTHLAKE BLVD, Southlake, TX 76092
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip S Fuller Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 16

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

KRISTI LEE WEST PA-C
Physician Assistant
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 885-6000
COOK CHILDREN'S MEDICAL CENTER
Pediatrics
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 885-6000
COOK CHILDREN'S MEDICAL CENTER
Clinic/Center (Urgent Care)
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 885-6000
MICHELLE M MCKANE MD
Pediatrics
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 885-6000
JENNIFER D ELLIOTT M.S., L.P.C.
Counselor (Professional)
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 885-6051
MAGDA FAWZY MD
Pediatrics
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 885-6000
EMILY M JIMENEZ PHD, LP, NCSP, MED
Psychologist (Clinical)
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 885-6000
CHRISTINA K CRUMP CPNP
Nurse Practitioner (Pediatrics)
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 885-6000

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 Philip Fuller's NPI number?

The NPI number for Philip Fuller is 1760592216. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Philip Fuller located?

Philip Fuller practices at 2727 E Southlake Blvd, Southlake, TX 76092. The listed phone number is (682) 885-6000.

What is Philip Fuller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Philip Fuller enrolled in Medicare?

Yes. Philip Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Fuller was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.