MCD PATHOLOGY LLP – Anatomic Pathology & Clinical Pathology Physician, NPI 1114959665

MCD PATHOLOGY LLP is a healthcare provider. based in Dallas, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. The NPI Number for MCD PATHOLOGY LLP is 1114959665

Main info

Organization
Name
MCD PATHOLOGY LLP
NPI
1114959665
Phone
(972) 566-7283
Address
7777 FOREST LANE
Authorized Official
JO ELLEN KRUEGER PARTNER M.D.
Enumeration Date
7 July 2006
Last Update Date
10 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MCD PATHOLOGY LLP

  • Medical City Dallas, 7777, Forest Lane, Dallas, Dallas County, Texas, 75230, United States

    DEPARTMENT OF PATHOLOGY

    DALLAS, TX 752302584

    Phone: (972) 566-7283

    Fax: (792) 566-7183

    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)

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: 2010-08-24

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
O20100824001013OClinic/Group PracticeTXTBD

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 75230)

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Reviews

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Frequently asked questions

What identifier follows MCD PATHOLOGY LLP across health systems?
The NPI 1114959665 uniquely identifies MCD PATHOLOGY LLP in U.S. healthcare data.
Should I treat MCD PATHOLOGY LLP as an active provider?
Patients and plans typically see MCD PATHOLOGY LLP as active in the national extract.
How should patients interpret MCD PATHOLOGY LLP's specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for MCD PATHOLOGY LLP. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MCD PATHOLOGY LLP?
MCD PATHOLOGY LLP is associated with Dallas, Texas in the same public data insurers reference.
Can I export MCD PATHOLOGY LLP's record?
You can download the official NPPES record; we summarize key fields for readability.

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