ELLIS ROBERTSON (MD) – Diagnostic Radiology Physician, NPI 1568465920
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for ELLIS ROBERTSON (MD)
12700, Park Central Drive, Dallas, Dallas County, Texas, 75251, United States
STE 430
DALLAS, TX 752511527
Phone: (972) 239-8902
Type: Location
Midway Road, Addison, Dallas County, Texas, 75001, United States
STE 206
ADDISON, TX 750013197
Phone:
Type: Mailing
PO BOX 740608
DALLAS, TX 753740608
Phone: (469) 317-9900
Type: Mailing
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: 2023-02-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031110000593 | I | Diagnostic Radiology | TX | TBD |
| I20230210000750 | I | Diagnostic Radiology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 29 | 28 | $0 |
| 70450 | Ct scan head or brain without contrast | 22 | 22 | $0 |
Insurance plans in this area (ZIP 75251)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Nuclear Medicine, Diagnostic Radiology, Diagnostic Radiology | OK | |
| Diagnostic Radiology | AR | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | HI | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX |
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