TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC – Clinical Medical Laboratory, NPI 1275739815

TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC is a healthcare provider. based in Southlake, Texas. specializing in Clinical Medical Laboratory. The organization holds a License No. 45D1067054 (TX). The NPI Number for TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC is 1275739815

Main info

Organization
Name
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
NPI
1275739815
Phone
(817) 310-4490
Address
505 S Nolen Dr
Authorized Official
KRISTINA KAY LOWERY CREDENTIALING MANAGER
Enumeration Date
21 June 2007
Last Update Date
21 April 2026

Contacts

Secure Messaging
giasouthcentral@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:18State licenses:1Other names

Provider Addresses for TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC

  • 505 S Nolen Dr

    STE B

    Southlake, TX 760929167

    Phone: (817) 310-4490

    Fax: (817) 310-4491

    Type: Location

  • 505 S NOLEN DR

    STE B

    SOUTHLAKE, TX 760929167

    Phone: (817) 310-4490

    Fax: (817) 310-4491

    Type: Location

  • PO BOX 35629

    DALLAS, TX 752350629

    Phone: (214) 424-2200

    Fax: (214) 231-2159

    Type: Mailing

  • 1800 PLAZA DR

    BEDFORD, TX 760216013

    Phone: (817) 310-4490

    Fax: (817) 310-4491

    Type: Location

  • 950 E STATE HIGHWAY 114 STE 200

    SOUTHLAKE, TX 760925261

    Phone: (214) 424-2200

    Fax: (214) 231-2159

    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: 2007-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-12-31 (164 days ago).

Enrollment records

1

Earliest due date

2025-12-31

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
O20071004000877OIndependent Clinical LaboratoryTX2025-12-31

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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity102,01844,243$0
88342Special stained specimen slides to examine tissue, initial procedure18,00115,330$0
88313Special stained specimen slides to examine tissue including interpretation and report9,7728,463$0
88312Special stained specimen slides to identify organisms including interpretation and report5,2684,582$0
88341Special stained specimen slides to examine tissue, each additional procedure1,768613$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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Reviews

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Frequently asked questions

How is TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC identified in CMS data?
CMS-hosted NPPES data lists TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC with NPI 1275739815.
Is TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC still practicing?
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC is currently listed as active in the public NPI registry.
What taxonomy line describes TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC?
For research purposes, treat TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC as Clinical Medical Laboratory in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC on a map?
Expect Southlake, Texas as a primary anchor for TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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