DONNA MAE DIVINA POLIQUIT M.D.
NPI 1881882835
Pediatrics in Arlington, TX
About Donna Mae Divina Poliquit M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA MAE DIVINA POLIQUIT M.D. (NPI 1881882835) is an individual pediatrics provider in Arlington, Texas, licensed in Texas (Q1477) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Donna Mae Divina Poliquit M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Donna Mae Poliquit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Donna Mae Poliquit's NPI number?
The NPI number for Donna Mae Poliquit is 1881882835. It was assigned to this individual provider in the NPPES registry on October 3, 2007.
Where is Donna Mae Poliquit located?
Donna Mae Poliquit practices at 1525 S Cooper St, Arlington, TX 76010. The listed phone number is (817) 804-1100.
What is Donna Mae Poliquit's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Donna Mae Poliquit enrolled in Medicare?
Yes. Donna Mae Poliquit is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Donna Mae Poliquit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Mae Poliquit reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, 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 Donna Mae Poliquit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Mae Poliquit accept?
Health plans from Baylor Scott and White Health Plan list Donna Mae Poliquit 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 Donna Mae Poliquit was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Donna Mae Divina Poliquit, M.D. · NPI 1881882835
Pediatrics physician in Arlington, Texas. Individual provider, active in the CMS NPPES registry since October 3, 2007.
## Identity
- **NPI:** 1881882835 (Entity type: Individual)
- **Enumerated:** October 3, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** Q1477 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1525 S COOPER ST, Arlington, TX 76010-4105
- **Phone:** (817) 804-1100 · **Fax:** (817) 299-8790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1881882835) · Data from the CMS NPPES public registry.