DR. TERESA JANELLE BASCOM (M.D.) – Obstetrics & Gynecology Physician, NPI 1275535049

DR. TERESA JANELLE BASCOM (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. L0021 (TX). The NPI Number for DR. TERESA JANELLE BASCOM (M.D.) is 1275535049

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. TERESA JANELLE BASCOM (M.D.)
NPI
1275535049
Phone
(214) 947-2331
Address
1441 N. BECKLEY AVE.
Enumeration Date
11 August 2005
Last Update Date
29 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2149472455
Graduation Year
1996 (30 years ago)
PAC ID
3678518438
Group Practice PAC ID
3274519293
Professional Enrollment ID
I20080606000080
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TERESA JANELLE BASCOM (M.D.)

  • Methodist Dallas Medical Center, 1441, North Beckley Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75203, United States

    MEDICAL EDUCATION

    DALLAS, TX 75203

    Phone: (214) 947-2331

    Fax: (214) 947-2361

    Type: Mailing

  • 122 W Colorado Blvd

    Dallas, TX 752082382

    Phone: (214) 947-6700

    Fax: (214) 947-6701

    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: 2008-06-06

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
I20080606000080IObstetrics/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 75203)

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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: 3274519293View full group profile
NameSpecialtyState
Surgical OncologyTX
-TX
Sports Medicine, Family PracticeTX
Infectious DiseaseTX
Geriatric Medicine, Family PracticeTX
-TX
P S Y C H I A T R YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
Family PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for DR. TERESA JANELLE BASCOM (M.D.) in the U.S.?
In the U.S., DR. TERESA JANELLE BASCOM (M.D.) is identified by NPI 1275535049.
Does the public listing show DR. TERESA JANELLE BASCOM (M.D.) as active?
DR. TERESA JANELLE BASCOM (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. TERESA JANELLE BASCOM (M.D.)'s listing?
DR. TERESA JANELLE BASCOM (M.D.)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. TERESA JANELLE BASCOM (M.D.)?
DR. TERESA JANELLE BASCOM (M.D.) is associated with Dallas, Texas in the same public data insurers reference.
Can I export DR. TERESA JANELLE BASCOM (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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