RICHARD KENT NILES MD
NPI 1598714040
Family Medicine in Dallas, TX
NPI Status: Active since May 10, 2006
Contact Information
9250 AMBERTON PKWY
DALLAS, TX
ZIP 75243
Phone: (682) 236-3656
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About RICHARD NILES
This page provides the complete NPI Profile along with additional information for Richard Niles, a primary care provider established in Dallas, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1598714040 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number L1416 (TX). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1598714040
- Provider Name
- RICHARD KENT NILES MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9250 AMBERTON PKWY DALLAS, TX 75243
- Location Phone
- (682) 236-3656
- Mailing Address
- 9250 AMBERTON PKWY DALLAS, TX 75243
- Mailing Phone
- (682) 236-3656
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-10-2006
- Last Update Date
- 12-08-2020
- Code Navigator
A primary care provider (PCP) like Richard Niles sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- L1416
- License State
- TX
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | L1416 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
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.
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 |
|---|---|---|---|
| 0091NK | OTHER (01) | TX | BCBS |
| 141681007 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
Richard Niles 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Medical/Surgical Supplies (DA023N)
Collagen based wound filler, dry form, sterile, per gram of collagen (HCPCS:A6010)
2 DME suppliers used 24 Medicare Claims 571 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS:A6196)
3 DME suppliers used 20 Medicare Claims 680 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing (HCPCS:A6203)
2 DME suppliers used 15 Medicare Claims 369 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing (HCPCS:A6223)
1 DME suppliers used 11 Medicare Claims 480 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Hydrogel dressing, wound filler, gel, per fluid ounce (HCPCS:A6248)
3 DME suppliers used 26 Medicare Claims 106 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard (HCPCS:A6446)
1 DME suppliers used 15 Medicare Claims 2829 Services Paid
DME-Other DME (DE000N)
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty (HCPCS:E0181)
1 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)
4 DME suppliers used 51 Medicare Claims 51 Services Paid
DME-Hospital Beds (DB000N)
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress (HCPCS:E0303)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
4 DME suppliers used 35 Medicare Claims 35 Services Paid
DME-Wheelchairs (DD021N)
Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)
2 DME suppliers used 11 Medicare Claims 22 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each (HCPCS:E0973)
2 DME suppliers used 11 Medicare Claims 22 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
4 DME suppliers used 40 Medicare Claims 40 Services Paid
DME-Wheelchairs (DD021N)
General use wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2601)
3 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD021N)
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2611)
3 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
7 DME suppliers used 196 Medicare Claims 196 Services Paid
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
2 DME suppliers used 94 Medicare Claims 94 Services Paid
Unknown
Other-Enteral and Parenteral (OB006N)
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4034)
1 DME suppliers used 21 Medicare Claims 651 Services Paid
Other-Enteral and Parenteral (OB006N)
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4152)
1 DME suppliers used 12 Medicare Claims 6600 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 10 minutes
Follow-up nursing facility visit per day, typically 10 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 35 minutes
Initial nursing facility visit per day, typically 25 minutes
Initial nursing facility visit per day, typically 25 minutes
Initial nursing facility visit per day, typically 35 minutes
Initial nursing facility visit per day, typically 35 minutes
Initial nursing facility visit per day, typically 45 minutes
Nursing facility annual assessment, typically 30 minutes
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 35 times for 27 patientsA follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 14 times for 14 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 730 times for 216 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 246 times for 133 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 613 times for 209 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 114 times for 68 patientsA follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 57 times for 43 patientsAn initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
This service was performed 20 times for 20 patientsAn initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
This service was performed 23 times for 23 patientsAn initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
This service was performed 162 times for 152 patientsAn initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
This service was performed 17 times for 17 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 58 times for 57 patientsAn annual assessment at a nursing facility is a routine check-up that typically lasts about 30 minutes. It's a chance for healthcare professionals to evaluate your overall health and wellness, monitor any ongoing conditions, and adjust care plans as needed.
This service was performed 74 times for 74 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75243 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.19
- Minimum New Patient Price $57.18
- Maximum New Patient Price $172.86
- Average New Patient Copayment $22.04
- Minimum New Patient Copayment $14.29
- Maximum New Patient Copayment $43.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.8
- Minimum Established Patient Price $18.48
- Maximum Established Patient Price $141.2
- Average Established Patient Copayment $25.2
- Minimum Established Patient Copayment $4.62
- Maximum Established Patient Copayment $35.3
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 5 | 9 | 8 | 7 | 1 | 4 | 0 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 14 | 1 | 8 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 4 + 1 + 8 + 0 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1598714040 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1104122365 | TEXAS HEALTH PHYSICIANS GROUP Organization | Pediatrics | 9250 AMBERTON PKWY DALLAS, TX 75243 (214) 860-6300 |
| 1285930354 | BRENDA PAYNE ACNP Individual | Nurse Practitioner (Acute Care) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1285660076 | MARIA PHARAH PAGUSARA AMBALONG MD Individual | Family Medicine (Geriatric Medicine) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1003837006 | HOWARD J HUNTZINGER MD Individual | Family Medicine | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1396769212 | TERESA L CLEMONS ANP Individual | Nurse Practitioner (Adult Health) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1366584070 | JEAN LESLY BRIGHT MD Individual | Internal Medicine | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1447387972 | MOHAMAD S ZIBARI PA Individual | Physician Assistant | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1578883583 | KATHERINE S KENEBREW MD Individual | Internal Medicine | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1831663335 | HEIDE CAGAN FNP-BC Individual | Nurse Practitioner (Family) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1750741963 | PAVNEET K GREWAL NP Individual | Nurse Practitioner (Family) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1730575374 | LAMESE ANN SABRI NP Individual | Nurse Practitioner (Acute Care) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1992361307 | LAURI CLEMENTS AGPCNP-BC Individual | Nurse Practitioner (Gerontology) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1063606283 | NEELIMA NARREDDY M.D. Individual | Internal Medicine | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1154345064 | TONI N CHAO NP Individual | Nurse Practitioner (Family) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1184643728 | VAQAR A DAR MD Individual | Internal Medicine | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1629092614 | MELCHOR J ACOSTA MD Individual | Internal Medicine (Geriatric Medicine) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1780845891 | KARISHMA KHAN M.D. Individual | Internal Medicine | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1942674270 | AMAN JYOTI GREWAL NP-C Individual | Nurse Practitioner (Family) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1710908744 | SOROUSH BEHNAM MD Individual | Internal Medicine (Geriatric Medicine) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
| 1972905131 | CHERIE ORA AGNP-C Individual | Nurse Practitioner (Gerontology) | 9250 AMBERTON PKWY DALLAS, TX 75243 (682) 236-3656 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598714040, enumerated in the NPI registry as an "individual" on May 10, 2006
The provider is located at 9250 Amberton Pkwy Dallas, Tx 75243 and the phone number is (682) 236-3656
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Blue Cross. 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.
Medicare beneficiaries should expect a typical cost of $88.19 with an average copayment of $22.04 for new patient appointments. Established patients should expect a typical charge of $100.8 and an average copayment of 25.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 10 minutes, Follow-up nursing facility visit per day, typically 10 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Follow-up nursing facility visit per day, typically 35 minutes, Initial nursing facility visit per day, typically 25 minutes, Initial nursing facility visit per day, typically 25 minutes, Initial nursing facility visit per day, typically 35 minutes, Initial nursing facility visit per day, typically 35 minutes, Initial nursing facility visit per day, typically 45 minutes and Nursing facility annual assessment, typically 30 minutes.
This NPI record was last updated on May 10, 2006. 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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