DR. AMY M LATTA MD
NPI 1962495598
Family Medicine in Dallas, TX
About Dr. Amy M Latta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY M LATTA MD (NPI 1962495598) is an individual family medicine provider in Dallas, Texas, licensed in Texas (L2976) and active in the NPI registry since August 2005. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Amy M Latta Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2012 through April 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75248 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75248
DALLAS, TX 75248
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 Amy Latta's NPI number?
The NPI number for Amy Latta is 1962495598. It was assigned to this individual provider in the NPPES registry on August 30, 2005.
Where is Amy Latta located?
Amy Latta practices at 17110 Dallas Pkwy #100, Dallas, TX 75248. The listed phone number is (972) 380-7000.
What is Amy Latta's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Amy Latta enrolled in Medicare?
No. Amy Latta has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Amy Latta accept?
Health plans from Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Amy Latta 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 Amy Latta was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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. Amy M Latta, MD · NPI 1962495598
Family Medicine physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since August 30, 2005.
## Identity
- **NPI:** 1962495598 (Entity type: Individual)
- **Enumerated:** August 30, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** L2976 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 17110 DALLAS PKWY, #100, Dallas, TX 75248-1167
- **Phone:** (972) 380-7000 · **Fax:** (972) 380-9266
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962495598) · Data from the CMS NPPES public registry.