DR. DANIELLE LIPOFF JACOBBE D.O.
NPI 1922393669
Surgery - Surgical Oncology in Dallas, TX

NPI Status: Active since June 10, 2011

Contact Information

3555 W WHEATLAND RD
DALLAS, TX
ZIP 75237
Phone: (972) 709-2580
Fax: (972) 298-6485

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  • Individual
  • Female
  • Years of Experience 15
  • Surgery
  • Surgical Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DANIELLE JACOBBE

This page provides the complete NPI Profile along with additional information for Danielle Jacobbe, a provider established in Dallas, Texas with a medical specialization in Surgery, focusing in surgical oncology and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1922393669 assigned on June 2011. The practitioner's primary taxonomy code is 2086X0206X with license number T2426 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1922393669
Provider Name
DR. DANIELLE LIPOFF JACOBBE D.O.
Gender
Female
Entity Type
Individual
Location Address
3555 W WHEATLAND RD DALLAS, TX 75237
Location Phone
(972) 709-2580
Location Fax
(972) 298-6485
Mailing Address
PO BOX 911230 DALLAS, TX 75391
Mailing Phone
(729) 978-0009
Mailing Fax
(972) 298-6485
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
06-10-2011
Last Update Date
10-11-2023
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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

Surgery Surgical Oncology

Taxonomy Code
2086X0206X
Type
Allopathic & Osteopathic Physicians
License No.
T2426
License State
TX
Taxonomy Description
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

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)
12086X0206XAllopathic & Osteopathic Physicians

Surgery
Surgical Oncology

271804 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO
  • 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
  • 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
  • CHRISTUS Bronze - HMO
  • CHRISTUS Bronze Essential - HMO
  • CHRISTUS Bronze Essential Plus - HMO
  • CHRISTUS Bronze Plus - HMO
  • CHRISTUS Catastrophic - HMO
  • CHRISTUS Gold - HMO
  • CHRISTUS Gold Essential - HMO
  • CHRISTUS Gold Essential Plus - HMO
  • CHRISTUS Gold Plus - HMO
  • CHRISTUS Silver - HMO
  • CHRISTUS Silver Essential - HMO
  • CHRISTUS Silver Essential Plus - HMO
  • CHRISTUS Silver Plus - HMO
  • CHRISTUS Standard Expanded Bronze - HMO
  • CHRISTUS Standard Gold - HMO
  • CHRISTUS Standard Silver - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6000 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Bronze 8500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 1000 Indiv Med Deductible - HMO
  • Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 3250 Indiv Med Deductible - HMO
  • Connect Gold 3500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3000 Indiv Med Deductible - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Imperial Preferred Bronze - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Gold Zero - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Guided Care - HMO
  • Gold Classic Standard - EPO
  • Gold Classic Standard Guided Care - HMO
  • Gold Elite - EPO
  • Gold Simple Guided Care - HMO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard Guided Care - HMO
  • Silver Simple Chronic Care CKM Guided Care - HMO
  • Silver Simple Diabetes Guided Care - HMO
  • Silver Simple Guided Care - HMO
  • Silver Simple PCP Saver - EPO
  • Silver Simple PCP Saver Guided Care - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Standard - HMO
  • UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Danielle Jacobbe is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Danielle Jacobbe 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

  • PECOS PAC ID: 1951673623

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210719000035

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

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.

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 16 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $43.21 for a new patient copayment and $17.82 for an established patient copayment.

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 75237 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $172.86
  • Minimum New Patient Price $57.18
  • Maximum New Patient Price $172.86
  • Average New Patient Copayment $43.21
  • 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 99213

  • Average Established Patient Price $71.28
  • Minimum Established Patient Price $18.48
  • Maximum Established Patient Price $141.2
  • Average Established Patient Copayment $17.82
  • 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Danielle Jacobbe is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
METHODIST DALLAS MEDICAL CENTER1441 NORTH BECKLEY AVENUE
DALLAS, TX 75203
(214) 947-2879Acute Care Hospitals
METHODIST CHARLTON MEDICAL CENTER3500 W WHEATLAND ROAD
DALLAS, TX 75237
(214) 947-7777Acute Care Hospitals

Reviews for DR. DANIELLE LIPOFF JACOBBE D.O.

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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.
1922393669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942696612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 6 + 9 + 6 + 6 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1922393669 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 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568401909DR. KESHA RICHELLE HARRIS-HENDERSON M.D.
Individual
Radiology (Radiation Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1225076862DR. MAMMO AMARE M.D.
Individual
Internal Medicine (Hematology & Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1124060116DR. DILIP L SOLANKI MD
Individual
Internal Medicine (Hematology & Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1669697066MRS. GILBERTA JEAN PEUGH PHARMD.
Individual
Pharmacist3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 780-3433
1114136173DR. SRINIVASU MOPARTY M.D.
Individual
Internal Medicine (Medical Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1285844092 DARSHAN GAUTAM GANDHI M.B.B.S.
Individual
Internal Medicine (Hematology & Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1801837497DR. ASHWANI KUMAR AGARWAL M.D.
Individual
Internal Medicine (Hematology & Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1194011924DR. ANANTH KUMAR ARJUNAN MD
Individual
Internal Medicine (Hematology & Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1285333674 KOTI REYNOLDS APRN, FNP-C
Individual
Nurse Practitioner (Family)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1487981270MRS. COLETTE BLAIR HAIGLER FNP
Individual
Nurse Practitioner (Family)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1174125272 EVA CATALAN FNP-C
Individual
Nurse Practitioner (Family)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1699550582 KRISTEN CHARMAINE EUSEBE NP-C
Individual
Nurse Practitioner (Gerontology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1881460996DR. MUDASIRU A ADEBOYE PHARM.D
Individual
Pharmacist (Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 780-3433
1265107049 ANGELA NICOLE THOMAS N.P.
Individual
Nurse Practitioner (Gerontology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580
1821296047 AMAN GARSA MD
Individual
Internal Medicine (Hematology & Oncology)3555 W WHEATLAND RD
DALLAS, TX 75237
(972) 709-2580

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922393669, enumerated in the NPI registry as an "individual" on June 10, 2011

The provider is located at 3555 W Wheatland Rd Dallas, Tx 75237 and the phone number is (972) 709-2580

The provider's speciality is Surgery with taxonomy code 2086X0206X with a focus in Surgical Oncology

The provider has more than 15 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arizona Complete. 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 $172.86 with an average copayment of $43.21 for new patient appointments. Established patients should expect a typical charge of $71.28 and an average copayment of 17.82. 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: Mastectomy and Melanoma (skin cancer) excision.

The practitioner is affiliated to the following hospital(s): METHODIST DALLAS MEDICAL CENTER and METHODIST CHARLTON MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 10, 2011. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.