Methodist Southlake Medical Center – General Acute Care Hospital, NPI 1568818417
General Acute Care Hospital
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Methodist Southlake Medical Center
PO BOX 911875
DALLAS, TX 753911875
Phone: (817) 865-4500
Fax: (817) 865-4850
Type: Mailing
East State Highway 114, Southlake, Tarrant County, Texas, 76051, United States
SOUTHLAKE, TX 760923635
Phone: (817) 865-4400
Fax: (817) 865-4840
Type: Location
11221, Roe Avenue, Leawood, Johnson County, Kansas, 66211, United States
SUITE 300
LEAWOOD, KS 662111922
Phone: (913) 387-0510
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: 2021-10-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (138 days away).
Enrollment records
1
Earliest due date
2026-10-31
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 |
|---|---|---|---|---|
| O20211019003356 | O | Hospital | TX | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 75391)
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