DR. KATHERINE HALL JELLIFFE (MD) – Maternal & Fetal Medicine Physician, NPI 1265799555

DR. KATHERINE HALL JELLIFFE (MD) is a healthcare provider. based in Dallas, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. Q0268 (TX). The NPI Number for DR. KATHERINE HALL JELLIFFE (MD) is 1265799555

Main info

Female
14 Years Of Experience
Name
DR. KATHERINE HALL JELLIFFE (MD)
NPI
1265799555
Phone
(214) 663-5394
Address
5242 MILLER AVE
Enumeration Date
12 April 2012
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
80024338397746
Graduation Year
2012 (14 years ago)
PAC ID
2365722246
Group Practice PAC ID
2365342938
Professional Enrollment ID
I20161212000828
Address ID
TX761044110FO1400XAVEX300

Contacts

Secure Messaging
kjelliffe170278@CookChildrens.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for DR. KATHERINE HALL JELLIFFE (MD)

  • 5242 MILLER AVE

    DALLAS, TX 752066421

    Phone: (214) 663-5394

    Type: Mailing

  • 7777 FOREST LN

    DALLAS, TX 752302571

    Phone: (972) 566-5600

    Type: Location

  • PO BOX 733784

    DALLAS, TX 753733784

    Phone: (682) 885-6483

    Fax: (682) 885-3113

    Type: Mailing

  • 1933 PINE ST STE A

    ABILENE, TX 796012431

    Phone: (325) 692-0626

    Fax: (325) 692-0638

    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: 2016-12-12

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
I20161212000828IObstetrics/GynecologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75206)

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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: 2365342938View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What is DR. KATHERINE HALL JELLIFFE (MD)'s NPI number?
DR. KATHERINE HALL JELLIFFE (MD)'s NPI is 1265799555 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. KATHERINE HALL JELLIFFE (MD)?
You should see DR. KATHERINE HALL JELLIFFE (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. KATHERINE HALL JELLIFFE (MD)?
DR. KATHERINE HALL JELLIFFE (MD) is associated with Maternal & Fetal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KATHERINE HALL JELLIFFE (MD)?
Travel planning: use Dallas, Texas as the reference point for DR. KATHERINE HALL JELLIFFE (MD), then confirm.
When was this NPI issued?
Enumeration for DR. KATHERINE HALL JELLIFFE (MD) is noted as April 12, 2012 where the registry provides it.

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