DR. ALTHEA KAY JARRETT (MD) – Pediatrics Physician, NPI 1811996663
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. ALTHEA KAY JARRETT (MD)
Jack in the Box, Presidio Vista, Presidio Junction, Fort Worth, Tarrant County, Texas, 76244, United States
FORT WORTH, TX 761990213
Phone: (682) 885-1855
Fax: (682) 885-7347
Type: Mailing
2727, East Southlake Boulevard, Park Village, Southlake, Tarrant County, Texas, 76092, United States
SOUTHLAKE, TX 760926613
Phone: (682) 885-6000
Fax: (682) 885-6026
Type: Location
2727 E Southlake Blvd
Southlake, TX 760926613
Phone: (682) 885-6000
Fax: (682) 885-6026
Type: Location
3800 Gaylord Pkwy Ste 850
Frisco, TX 750340248
Phone: (469) 857-2222
Fax: (469) 857-2223
Type: Location
5700 Dallas Pkwy
Frisco, TX 750349580
Phone: (469) 515-7100
Type: Location
2222 WELBORN ST
DALLAS, TX 752193924
Phone: (214) 559-5000
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: 2005-04-29
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 |
|---|---|---|---|---|
| I20050429000261 | I | Pediatric Medicine | 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 76199)
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