DR. ALAN P.B DACKIW M.D
NPI 1790720605
Surgery in Dallas, TX
About Dr. Alan P.b Dackiw M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALAN P.B DACKIW M.D (NPI 1790720605) is an individual surgery provider in Dallas, Texas, licensed in Texas (K6557) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Alan P.b Dackiw 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.
Medicare Billing Reassignment
Medicare enrollment records show Alan Dackiw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75390
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DALLAS, TX 75390
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 Alan Dackiw's NPI number?
The NPI number for Alan Dackiw is 1790720605. It was assigned to this individual provider in the NPPES registry on June 17, 2006.
Where is Alan Dackiw located?
Alan Dackiw practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 645-2900.
What is Alan Dackiw's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Alan Dackiw enrolled in Medicare?
Yes. Alan Dackiw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Alan Dackiw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alan Dackiw 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 Alan Dackiw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alan Dackiw 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 1 other insurer list Alan Dackiw 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.
Is Alan Dackiw affiliated with any hospitals?
According to CMS data, Alan Dackiw is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..
When was this NPI record last updated?
The NPPES record for Alan Dackiw was last updated on September 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Alan P.b Dackiw, M.D · NPI 1790720605
Surgery physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1790720605 (Entity type: Individual)
- **Enumerated:** June 17, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** K6557 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5323 HARRY HINES BLVD, Dallas, TX 75390-7208
- **Phone:** (214) 645-2900 · **Fax:** (214) 645-8161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Texas Southwestern Medical Center At Dallas (NPI 1083669766, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** September 16, 2014
- **Other identifiers:** Medicare PIN KR71JHH882 (MD); Medicare UPIN G80543 (MD); Medicaid 404012100 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1790720605) · Data from the CMS NPPES public registry.