JEFFREY MASON CHAMBLISS (MD) – Pediatric Allergy/Immunology Physician, NPI 1265877054

JEFFREY MASON CHAMBLISS (MD) is a healthcare provider. based in Dallas, Texas. specializing in PEDIATRIC MEDICINE, ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. Q8703 (TX). The NPI Number for JEFFREY MASON CHAMBLISS (MD) is 1265877054

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY MASON CHAMBLISS (MD)
NPI
1265877054
Phone
(214) 456-2084
Address
5323 HARRY HINES BLVD
Enumeration Date
7 May 2013
Last Update Date
20 August 2018

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2146450624
Graduation Year
2013 (13 years ago)
PAC ID
7911123492
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20180719000964
Address ID
TX753907208DA5303XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

Provider Addresses for JEFFREY MASON CHAMBLISS (MD)

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753909063

    Phone: (214) 456-2084

    Fax: (214) 456-8317

    Mailing address matches the actual address.

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 $1,586.

Total Amount is formed as General ($1,586) + Research ($0) + Ownership ($0) = $1,586.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,438).

Total Amount

$1,586

General + Research + Ownership

Payments

5

Total payment records

General Amount

$1,586

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

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: 2018-07-19

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
I20180719000964IPediatric MedicineTXTBD

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 75390)

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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: 0648188250View full group profile

Reviews

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Frequently asked questions

Does JEFFREY MASON CHAMBLISS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JEFFREY MASON CHAMBLISS (MD) uses 1265877054.
Does CMS list JEFFREY MASON CHAMBLISS (MD) as active?
Yes — JEFFREY MASON CHAMBLISS (MD) is active in the NPI listing used on this page.
What taxonomy line describes JEFFREY MASON CHAMBLISS (MD)?
For research purposes, treat JEFFREY MASON CHAMBLISS (MD) as Pediatric Allergy/Immunology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JEFFREY MASON CHAMBLISS (MD) on a map?
Expect Dallas, Texas as a primary anchor for JEFFREY MASON CHAMBLISS (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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