JACKIE R YORK MD
NPI 1134117559
Pediatrics - Neonatal-Perinatal Medicine in Dallas, TX
NPI Status: Active since October 10, 2005
Contact Information
3500 GASTON AVE
3 HOP - DEPARTMENT OF NEONATOLOGY
DALLAS, TX
ZIP 75246
Phone: (214) 820-7604
Fax: (214) 820-2370
- Individual
- Female
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About JACKIE YORK
This page provides the complete NPI Profile along with additional information for Jackie York, a pediatrician established in Dallas, Texas with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1134117559 assigned on October 2005. The practitioner's primary taxonomy code is 2080N0001X with license number M9756 (TX). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1134117559
- Provider Name
- JACKIE R YORK MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3500 GASTON AVE 3 HOP - DEPARTMENT OF NEONATOLOGY DALLAS, TX 75246
- Location Phone
- (214) 820-7604
- Location Fax
- (214) 820-2370
- Mailing Address
- 3500 GASTON AVE 3 HOB - DEPARTMENT OF NEONATOLOGY DALLAS, TX 75246
- Mailing Phone
- (214) 820-7604
- Mailing Fax
- (214) 820-2370
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-10-2005
- Last Update Date
- 08-07-2008
- Code Navigator
A pediatrician like Jackie York is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M9756
- License State
- TX
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H66514 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Jackie York is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 1 | 7 | 5 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 1 | 14 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 1 + 1 + 4 + 5 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1134117559 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851395297 | MS. MELANIE K FLINN RPH Individual | Pharmacist | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-2909 |
| 1881699460 | HEALTHTEXAS PROVIDER NETWORK-TRANSPLANT SERVICES LLP Organization | Transplant Surgery | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-2050 |
| 1639175847 | DR. SHARON GRIMES BAKOS M.D. Individual | Obstetrics & Gynecology | 3500 GASTON AVE LABOR AND DELIVERY DALLAS, TX 75246 (866) 240-8099 |
| 1821083759 | JENNIFER LEIGH JOHNSON-CRAFT PHARM.D., BCPS Individual | Pharmacist (Pharmacotherapy) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-8980 |
| 1215927017 | STEPHEN W BURGHER SR. MD Individual | Emergency Medicine | 3500 GASTON AVE DEPARTMENT OF EMERGENCY MEDICINE DALLAS, TX 75246 (214) 820-3344 |
| 1366426843 | RONALD C JONES MD Individual | Specialist | 3500 GASTON AVE DEPARTMENT OF SURGERY DALLAS, TX 75246 (214) 820-2468 |
| 1174590236 | MS. JANET GALE ALLEN CRNA Individual | Nurse Anesthetist, Certified Registered | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-2139 |
| 1912966920 | GRETCHEN ANN RITTER Individual | Nurse Anesthetist, Certified Registered | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-2170 |
| 1003878281 | ASIF ZIA KHATTAK MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-7604 |
| 1477515542 | MS. JOAN HEILSKOV NNP PNP Individual | Nurse Practitioner (Neonatal) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-2806 |
| 1184686206 | DR. JONATHAN MARTIN WHITFIELD MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-4012 |
| 1992767180 | DR. VIJAY KUMAR NAMA MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-7933 |
| 1932162526 | MRS. KANDY SUE STANLEY Individual | Nurse Practitioner (Neonatal, Critical Care) | 3500 GASTON AVE SUITE 250 DALLAS, TX 75246 (214) 820-2806 |
| 1891757431 | CRAIG THOMAS SHOEMAKER M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3500 GASTON AVE BAYLOR UNIVERSITY MEDICAL CENTER, NEONATOLOGY DALLAS, TX 75246 (214) 820-4012 |
| 1003879651 | MRS. LORI ELAINE HUTSON RNC NNP Individual | Nurse Practitioner (Neonatal) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-2806 |
| 1861455230 | PATRICIA ELYCE THOMAS NNP Individual | Nurse Practitioner (Neonatal) | 3500 GASTON AVE NEONATOLOGY DALLAS, TX 75246 (214) 820-4012 |
| 1407819899 | WENDY WOOD-TREVINO APN Individual | Nurse Practitioner (Neonatal) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-2806 |
| 1679536692 | DEBRA LYN STEVENS NNP/PNP Individual | Nurse Practitioner (Neonatal) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-4012 |
| 1245293901 | DR. BEZALEL PERELMUTER MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-4012 |
| 1548223274 | IRFAN M FARUKHI MD Individual | Radiology (Nuclear Radiology) | 3500 GASTON AVE DALLAS, TX 75246 (214) 820-3216 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134117559, enumerated in the NPI registry as an "individual" on October 10, 2005
The provider is located at 3500 Gaston Ave 3 Hop - Department Of Neonatology Dallas, Tx 75246 and the phone number is (214) 820-7604
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on October 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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