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

Q: 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.

Q: What is L. Booth's specialty?

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

Q: 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.

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: August 09, 2026.

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

On this page

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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