DFW RHEUMATOLOGY, PLLC – Infectious Disease Physician, NPI 1902392954
Infectious Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DFW RHEUMATOLOGY, PLLC
505 NE 87th Ave Ste 205
Vancouver, WA 986641988
Phone: (833) 696-3349
Fax: (972) 499-9210
Type: Location
1901 S Union Ave Ste 3003
Tacoma, WA 984051702
Phone: (833) 696-3349
Fax: (972) 499-9210
Type: Location
6414, Deloache Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75225, United States
DALLAS, TX 752252605
Phone: (321) 863-6984
Type: Mailing
Plaza Drive, Red Oak, Ellis County, Texas, 75154, United States
RED OAK, TX 751543981
Phone: (469) 552-6630
Fax: (469) 556-6930
Type: Location
906 SE EVERETT MALL WAY STE 400
EVERETT, WA 982083700
Phone: (833) 696-3349
Fax: (972) 499-9210
Type: Location
15301 SPECTRUM DR STE 330
ADDISON, TX 750016462
Phone: (833) 696-3349
Fax: (972) 499-9210
Type: Mailing
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: 2025-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (981 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20180907000415 | O | Clinic/Group Practice | TX | 2023-09-30 |
| O20250617001572 | O | Clinic/Group Practice | WA | TBD |
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 98664)
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.