COOK CHILDREN'S DEVELOPMENTAL PEDIATRICS – Developmental - Behavioral Pediatrics Physician, NPI 1548230923
Developmental - Behavioral Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COOK CHILDREN'S DEVELOPMENTAL PEDIATRICS
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-6163
Fax: (682) 885-7337
Type: Mailing
1500 COOPER ST
FORT WORTH, TX 761042710
Phone: (682) 303-9200
Fax: (682) 303-9245
Type: Location
Child Study Center, 1300, West Lancaster Avenue, Fort Worth, Tarrant County, Texas, 76102, United States
FORT WORTH, TX 76102
Phone: (817) 336-8111
Fax: (817) 336-2823
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.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (41 days ago).
Enrollment records
1
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20040128000800 | O | Clinic/Group Practice | TX | 2026-04-30 |
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 75373)
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