DALLAS WOLFORD (MD) – Surgery Physician, NPI 1720584964

DALLAS WOLFORD (MD) is a healthcare provider. based in Dallas, Texas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. V6734 (TX). The NPI Number for DALLAS WOLFORD (MD) is 1720584964

Main info

Female
9 Years Of Experience
Name
DALLAS WOLFORD (MD)
NPI
1720584964
Phone
(469) 387-5875
Address
4512 LAKESIDE DR
Enumeration Date
5 April 2018
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
0446765655
Professional Enrollment ID
I20250716002180
Address ID
TX787460000WE7004XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for DALLAS WOLFORD (MD)

  • 4512, Lakeside Drive, Highland Park, Dallas County, Texas, 75205, United States

    DALLAS, TX 752053821

    Phone: (469) 387-5875

    Type: Mailing

  • Baylor University Medical Center, 3500, Gaston Avenue, Old East Dallas, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States

    DALLAS, TX 752462017

    Phone: (214) 820-0111

    Type: Location

  • 5323 Harry Hines Blvd

    Dallas, TX 753907201

    Phone: (469) 387-5875

    Type: Location

  • 3500 Gaston Ave

    Dallas, TX 752462017

    Phone: (214) 820-0111

    Type: Location

  • 7004 BEE CAVES RD STE 2-100

    WEST LAKE HILLS, TX 787465086

    Phone: (512) 642-5050

    Fax: (512) 642-8186

    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: 2025-07-16

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
I20250716002180IGeneral SurgeryTXTBD

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 75205)

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Reviews

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Frequently asked questions

Is there an official ID for DALLAS WOLFORD (MD) in U.S. healthcare records?
The official identifier for DALLAS WOLFORD (MD) is NPI 1720584964.
Is there an active status for DALLAS WOLFORD (MD)?
For scheduling context, DALLAS WOLFORD (MD) is shown as active in the registry.
What clinical focus is listed for DALLAS WOLFORD (MD)?
At a glance, DALLAS WOLFORD (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DALLAS WOLFORD (MD) associated with Dallas?
Public fields place DALLAS WOLFORD (MD) around Dallas, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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