DAVID H EWALT (M.D.) – Pediatric Urology Physician, NPI 1043257686
Pediatric Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID H EWALT (M.D.)
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-1855
Fax: (682) 885-1396
Type: Mailing
4001 W 15TH ST STE 300
PLANO, TX 750935802
Phone: (214) 750-0808
Fax: (682) 303-9572
Type: Location
3600, Gaston Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States
SUITE 1205
DALLAS, TX 752461800
Phone: (214) 691-1902
Fax: (214) 696-4190
Type: Mailing
8315, Walnut Hill Lane, Vickery Meadows PID, Dallas, Dallas County, Texas, 75231, United States
SUITE 205
DALLAS, TX 752314218
Phone: (214) 750-0808
Fax: (214) 750-0120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-01-04 • Largest payer in this snapshot: COLOPLAST CORP ($108).
Total Amount
$121
General + Research + Ownership
Payments
5
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $108 |
| Hollister Incorporated | $14 |
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: 2005-09-23
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 |
|---|---|---|---|---|
| I20050923000083 | I | Urology | 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 75373)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Cardiac Electrophysiology | TX | |
| - | OK | |
| - | TX | |
| H O S P I T A L I S T | VA | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Endocrinology, Internal Medicine | TX | |
| Pediatric Medicine | TX | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | TX | |
| Pediatric Medicine | TX | |
| Pediatric Medicine, Critical Care (Intensivists) | TX |
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