DFW ENDOCRINOLOGY P.A. – Endocrinology, Diabetes & Metabolism Physician, NPI 1215317425
Endocrinology, Diabetes & Metabolism Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DFW ENDOCRINOLOGY P.A.
1141 KELLER PKWY STE C
KELLER, TX 762481628
Phone: (469) 930-4655
Type: Location
3848 N Tarrant Pkwy Ste 120
Fort Worth, TX 762445422
Phone: (469) 930-4655
Fax: (877) 776-3240
Type: Location
4505 BRENDA DR
FLOWER MOUND, TX 750221001
Phone: (469) 930-4655
Type: Mailing
3311 YUCCA DR STE 100
FLOWER MOUND, TX 750282743
Phone: (469) 930-4655
Fax: (877) 776-3240
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: 2015-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (652 days ago).
Enrollment records
1
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20150728005322 | O | Clinic/Group Practice | TX | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 76248)
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