DAN SEPDHAM M.D.
NPI 1831186543
Family Medicine - Adult Medicine in Dallas, TX

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
5323 HARRY HINES BLVD, DALLAS, TX 75390(682) 777-5870(214) 645-0078 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dan Sepdham M.d. NPPES

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

DAN SEPDHAM M.D. (NPI 1831186543) is an individual adult medicine provider in Dallas, Texas, licensed in Texas (K7478) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1831186543
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDAN SEPDHAMCredential: M.D.
Location Address5323 HARRY HINES BLVDDallas, TX 75390-9067
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (214) 648-6524 · Fax (214) 645-0078
Fax(214) 645-0078
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1997
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJune 12, 2025
NPPES CertifiedJune 12, 2025
NPI 1831186543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in TX · K7478
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily MedicineTaxonomy 207Q00000X · License K7478 (TX)
5323 HARRY HINES BLVD, Dallas, TX 75390

Secondary Practice Location 1

Location 15909 Harry Hines BoulevardDallas, TX 75390-9067 · Phone (214) 648-6524 · Fax (214) 645-3901

Accepted Insurance

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

Dan Sepdham 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 ID9537164231
PECOS Enrollment IDI20061003000151
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician 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.

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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$11.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$55.37 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 20

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

Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
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 Dan Sepdham's NPI number?

The NPI number for Dan Sepdham is 1831186543. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Dan Sepdham located?

Dan Sepdham practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (682) 777-5870.

What is Dan Sepdham's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Dan Sepdham enrolled in Medicare?

Yes. Dan Sepdham 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.

What insurance does Dan Sepdham 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 Dan Sepdham 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 Dan Sepdham affiliated with any hospitals?

According to CMS data, Dan Sepdham is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Dan Sepdham was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.