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DR. KATHERINA AVILA M.D.
NPI 1962898445
Internal Medicine in Dallas, TX

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
2663 S LANCASTER RD, DALLAS, TX 75216(214) 296-4341 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2024, Jul 16, 2019 (2 updates tracked since 2019).

About Dr. Katherina Avila M.d. NPPES

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

DR. KATHERINA AVILA M.D. (NPI 1962898445) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (S2725) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962898445
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATHERINA AVILACredential: M.D.
Location Address2663 S LANCASTER RDDallas, TX 75216-3112
Mailing AddressPo Box 746079Atlanta, GA 30374-6079
Phone(214) 296-4341
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2015
Enumeration DateApril 10, 2015
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1962898445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · S2725✔ Licensed in NM · RS2015-0388
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2663 S LANCASTER RD, Dallas, TX 75216
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Secondary Practice Locations 2

Location 1Msc 10 5550, 1 University of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-4661 · Fax (505) 272-4628
Location 25939 Harry Hines Blvd Ste Hq08.124Dallas, TX 75235 · Phone (214) 645-8600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Katherina Avila 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 ID9830402593
PECOS Enrollment IDI20191206000842
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 Reassignments

2

Medicare enrollment records show Katherina Avila reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
6.9 mi
Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1083669766 (214) 645-0624
Oak Street Health Of Texas, PLLC
27 mi
Primary Care
4115 E LANCASTER AVE
Fort Worth, TX 76103
  • Reassigned Medicare billing, Texas enrollment
  • 175 clinicians in this Medicare group
NPI 1497387419 (312) 733-9730

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
98 services84 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.
93 services76 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.
28 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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 75216 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims37 services$6.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.43 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 supplier11 claims11 services$66.91 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 2

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

CRISTINA MARIA PAPARI MD
Family Medicine
2663 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 296-4341
MRS. NICOLE GOLDEN NP-C
Nurse Practitioner (Gerontology)
2663 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 296-4341

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 Katherina Avila's NPI number?

The NPI number for Katherina Avila is 1962898445. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Katherina Avila located?

Katherina Avila practices at 2663 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 296-4341.

What is Katherina Avila's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katherina Avila enrolled in Medicare?

Yes. Katherina Avila 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.

Which organizations bill Medicare for Katherina Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherina Avila reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Oak Street Health Of Texas, PLLC (Fort Worth, TX). Each 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 Katherina Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherina Avila accept?

Health plans from Blue Cross and Blue Shield of Texas list Katherina Avila 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 Katherina Avila affiliated with any hospitals?

According to CMS data, Katherina Avila is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Katherina Avila was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.