PADUA HEALTHCARE – Geriatric Medicine (Family Medicine) Physician, NPI 1710662754
Geriatric Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PADUA HEALTHCARE
9009 White Rock Trl
Dallas, TX 752383347
Phone: (214) 355-3300
Fax: (469) 621-2209
Type: Location
3505 S Buckner Blvd
Dallas, TX 752275451
Phone: (214) 356-1724
Fax: (469) 621-2209
Type: Location
224 W Pleasant Run Rd
Cedar Hill, TX 751045402
Phone: (214) 356-1724
Fax: (469) 621-2209
Type: Location
1515 N Elm St
Lancaster, TX 751343241
Phone: (214) 356-1724
Fax: (469) 621-2209
Type: Location
2918 Duncanville Rd
Dallas, TX 752117407
Phone: (214) 356-1724
Fax: (469) 621-2209
Type: Location
2450 Bickers St
Dallas, TX 752121507
Phone: (214) 356-1724
Fax: (469) 621-2209
Type: Location
2535 W Pleasant Run Rd
Lancaster, TX 751461111
Phone: (214) 356-1724
Fax: (469) 621-2209
Type: Location
3160 Gus Thomasson Rd
Mesquite, TX 751504048
Phone: (214) 356-1724
Fax: (469) 621-2209
Type: Location
2003 Old Orchard Dr
Dallas, TX 752083130
Phone: (214) 356-1724
Fax: (469) 621-2209
Type: Location
PO BOX 674901
DALLAS, TX 752674901
Phone: (214) 531-7813
Fax: (214) 421-4804
Type: Mailing
1341 W MOCKINGBIRD LN STE 600-454
DALLAS, TX 752476913
Phone: (214) 531-7813
Fax: (214) 421-4804
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-09-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20230922000015 | O | Clinic/Group Practice | TX | TBD |
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.
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 75238)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.