NIELS-JORGEN DYRVED (MD) – Anatomic Pathology Physician, NPI 1255461349

NIELS-JORGEN DYRVED (MD) is a healthcare provider. based in Dallas, Texas. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. TEMPORARY (TX). The NPI Number for NIELS-JORGEN DYRVED (MD) is 1255461349

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
NIELS-JORGEN DYRVED (MD)
NPI
1255461349
Phone
(214) 645-0624
Address
PO BOX 845347
Enumeration Date
7 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2149477777
Graduation Year
2002 (24 years ago)
PAC ID
3476653593
Group Practice PAC ID
4385538065
Professional Enrollment ID
I20070702000620
Address ID
TX752373460DA3500XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,394 PATHOLOGY in TX

Provider Addresses for NIELS-JORGEN DYRVED (MD)

  • PO BOX 845347

    DALLAS, TX 752845347

    Phone: (214) 645-0624

    Fax: (214) 645-0078

    Type: Mailing

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907208

    Phone: (214) 645-0624

    Fax: (214) 645-0078

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-07-02

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
I20070702000620IPathologyTXTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity485280$0
88313Special stained specimen slides to examine tissue including interpretation and report30985$0
88341Special stained specimen slides to examine tissue, each additional procedure22550$0
88307Pathology examination of tissue using a microscope, moderately high complexity169128$0
85060Blood smear interpretation by physician with written report136124$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

NIELS-JORGEN DYRVED (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTX88312Special stained specimen slides to identify organisms including interpretation and report143110

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: 4385538065View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YMO
P A T H O L O G YMA
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX

Reviews

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Frequently asked questions

How do I look up NIELS-JORGEN DYRVED (MD) by NPI?
Use NPI 1255461349 when you need to reference NIELS-JORGEN DYRVED (MD) in forms, claims, or directories.
Is NIELS-JORGEN DYRVED (MD) active in the national directory?
NIELS-JORGEN DYRVED (MD)'s public NPI profile is in an active state.
What kind of provider is NIELS-JORGEN DYRVED (MD)?
The page reflects Anatomic Pathology Physician for NIELS-JORGEN DYRVED (MD). Clinical services aligned with this taxonomy classification.
What location shows for NIELS-JORGEN DYRVED (MD)?
We surface Dallas, Texas for NIELS-JORGEN DYRVED (MD) based on available NPPES addresses.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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