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L. MICHELLE BOOTH M.D.
NPI 1891767232
Pediatrics in Fort Worth, TX

Active since February 01, 2006PECOS Enrolled
1401 W PULASKI ST, FORT WORTH, TX 76104(682) 885-8012(682) 885-8014 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2022, Apr 14, 2021, Jul 20, 2018 and 1 more (4 updates tracked since 2016).

About L. Michelle Booth M.d. NPPES

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

L. MICHELLE BOOTH M.D. (NPI 1891767232) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (H6062) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891767232
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameL. MICHELLE BOOTHCredential: M.D.
Location Address1401 W PULASKI STFort Worth, TX 76104-2717
Mailing AddressPo Box 99213Fort Worth, TX 76199-0213 · (682) 885-1860 · Fax (682) 885-1396
Phone(682) 885-8012
Fax(682) 885-8014
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJanuary 26, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1891767232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · H6062✔ Licensed in CO · 32065✔ Licensed in VA · 0101252892
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.
1401 W PULASKI ST, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (214) 456-9250 · Fax (214) 456-1240
Location 25151 State Highway 121The Colony, TX 75056 · Phone (214) 488-5437 · Fax (214) 488-5438

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

L. Michelle Booth M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show L. Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
0.3 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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 76104 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 20

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

HINA AZIZ REHMAN MD
Pediatrics
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
SUSAN AKBERZIE CPNP
Nurse Practitioner (Primary Care)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
VALENTINA CELANT WARNE PA-C
Physician Assistant
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
KELSEY HALE APRN
Nurse Practitioner (Family)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
SONYA F LOFTIS-DAYAL MD
Pediatrics
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
REBECCA JEANNE SULLIVAN CPNP
Nurse Practitioner (Primary Care)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
COOK CHILDREN'S MEDICAL CENTER
Clinic/Center (Urgent Care)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
RACHEL NICOLE LARA FNP
Nurse Practitioner (Family)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012

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 L. Booth's NPI number?

The NPI number for L. Booth is 1891767232. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is L. Booth located?

L. Booth practices at 1401 W Pulaski St, Fort Worth, TX 76104. The listed phone number is (682) 885-8012.

What is L. Booth's specialty?

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

Is L. Booth enrolled in Medicare?

Yes. L. Booth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for L. Booth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), L. Booth 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 L. Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for L. Booth was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.