AEGIS WOUNDCARE – General Practice Physician, NPI 1275194417

AEGIS WOUNDCARE is a healthcare provider. based in Dallas, Texas. specializing in General Practice Physician. The NPI Number for AEGIS WOUNDCARE is 1275194417

Main info

Organization
Name
AEGIS WOUNDCARE
NPI
1275194417
Phone
(512) 422-0633
Address
13101 PRESTON RD STE 110648
Authorized Official
JEFFERY M FRITZ MANAGING MEMBER MD
Enumeration Date
27 June 2019
Last Update Date
4 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness90
Years active:6State licenses:0Digital endpoints

Provider Addresses for AEGIS WOUNDCARE

  • 13101 PRESTON RD STE 110648

    DALLAS, TX 752405237

    Phone: (512) 422-0633

    Fax: (469) 802-0070

    Type: Mailing

  • 7901 JOHN CARPENTER FWY

    DALLAS, TX 752474832

    Phone: (972) 382-9992

    Fax: (469) 802-0072

    Type: Mailing

  • 14665 MIDWAY RD STE 110-A

    ADDISON, TX 750013190

    Phone: (972) 382-9992

    Fax: (469) 802-0072

    Type: Location

  • 742 E HWY 121

    LEWISVILLE, TX 750574113

    Phone: (214) 980-9400

    Fax: (469) 802-0070

    Type: Location

  • 5454 SURREY PATH STE 208

    FRISCO, TX 750349582

    Phone: (512) 422-0633

    Fax: (469) 802-0700

    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: 2024-11-20

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
O20241120003101OClinic/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 75240)

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Reviews

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Frequently asked questions

Can I verify AEGIS WOUNDCARE with an NPI only?
You can start verification with NPI 1275194417 for AEGIS WOUNDCARE, then check state licensing separately.
Does the file indicate AEGIS WOUNDCARE is practicing under active NPI?
Directory data currently reports AEGIS WOUNDCARE as active.
What taxonomy line describes AEGIS WOUNDCARE?
For research purposes, treat AEGIS WOUNDCARE as General Practice Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does AEGIS WOUNDCARE list a practice location?
Patients near Dallas, Texas may find AEGIS WOUNDCARE in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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