JEWISH FAMILY SERVICE OF DALLAS, INC – Family Medicine Physician, NPI 1982611000
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JEWISH FAMILY SERVICE OF DALLAS, INC
5402, Arapaho Road, Dallas, Dallas County, Texas, 75254, United States
DALLAS, TX 75248
Phone: (972) 437-9950
Fax: (972) 437-1988
Type: Mailing
12606 Greenville Ave Ste 200
Dallas, TX 752431923
Phone: (469) 780-4590
Fax: (833) 450-0375
Type: Location
16301 Quorum Dr # A1800
Addison, TX 750015978
Phone: (972) 437-9950
Fax: (833) 450-0375
Type: Location
609 Texas St
Dallas, TX 752045932
Phone: (214) 521-4673
Fax: (844) 689-5140
Type: Location
5402 ARAPAHO RD
DALLAS, TX 752486905
Phone: (972) 437-9950
Fax: (972) 437-1988
Type: Mailing
16301 QUORUM DR
ADDISON, TX 750015978
Phone: (972) 437-9950
Fax: (972) 437-1988
Type: Mailing
16301 QUORUM DR STE B2200
ADDISON, TX 750015978
Phone: (972) 437-9950
Fax: (972) 437-1988
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.
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: 2004-08-05
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 |
|---|---|---|---|---|
| O20040805000453 | 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 75248)
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