SUSAN THERESA IANNACCONE (MD) – Neurology Physician, NPI 1023078607
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
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Provider Addresses for SUSAN THERESA IANNACCONE (MD)
P.O. BOX 845347
DALLAS, TX 752845347
Phone: (214) 456-2768
Fax: (214) 456-6898
Type: Mailing
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
DALLAS, TX 753907208
Phone: (214) 456-2768
Fax: (214) 456-6898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $14,260.
Total Amount is formed as General ($7,063) + Research ($7,197) + Ownership ($0) = $14,260.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: F. Hoffmann-La Roche AG ($7,197).
Total Amount
$14,260
General + Research + Ownership
Payments
25
Total payment records
General Amount
$7,063
General payments
Research Amount
$7,197
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| F. Hoffmann-La Roche AG | $7,197 |
| Sarepta Therapeutics, Inc. | $4,968 |
| Biogen, Inc. | $1,500 |
| UCB, Inc. | $269 |
| Novartis Gene Therapies, Inc. (fka AveXis, Inc.) | $118 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041123001280 | I | Pediatric Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Diagnostic Radiology | TX | |
| Anesthesiology, Pain Management | FL | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| U R O L O G Y | TX | |
| - | TX | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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