HENRY DOLLAHITE (MD) – Adult Medicine Physician, NPI 1104243468

HENRY DOLLAHITE (MD) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. R2846 (TX). The NPI Number for HENRY DOLLAHITE (MD) is 1104243468

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
HENRY DOLLAHITE (MD)
NPI
1104243468
Phone
(817) 946-2051
Address
6205 LOCKE AVE
Enumeration Date
25 March 2014
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8176412551
Graduation Year
2014 (12 years ago)
PAC ID
7517186950
Group Practice PAC ID
3476688318
Professional Enrollment ID
I20170726003495
Address ID
TX760334007CL201XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for HENRY DOLLAHITE (MD)

  • 6205 LOCKE AVE

    FORT WORTH, TX 761164636

    Phone: (817) 946-2051

    Fax: (972) 249-0206

    Type: Location

  • 6451 BRENTWOOD STAIR RD STE 100

    FORT WORTH, TX 761123200

    Phone: (972) 249-0200

    Fax: (972) 249-0206

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Medtronic, Inc. ($206).

Total Amount

$253

General + Research + Ownership

Payments

4

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-07-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170726003495IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,071235$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes524165$0
99497Advance care planning, first 30 minutes412355$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes395340$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes178165$0
View full utilization report →

Insurance plans in this area (ZIP 76116)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476688318View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is HENRY DOLLAHITE (MD) identified in CMS data?
CMS-hosted NPPES data lists HENRY DOLLAHITE (MD) with NPI 1104243468.
Is HENRY DOLLAHITE (MD) still practicing?
HENRY DOLLAHITE (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes HENRY DOLLAHITE (MD)?
For research purposes, treat HENRY DOLLAHITE (MD) as Adult Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does HENRY DOLLAHITE (MD) list a practice location?
Patients near Fort Worth, Texas may find HENRY DOLLAHITE (MD) in results; validate coverage separately.
Why does HENRY DOLLAHITE (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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