Individual provider

MD SPECIALTY GROUP LLC

General Practice Physician Professional Counselor Clinical Psychologist Deactivated record

MD SPECIALTY GROUP LLC is a General Practice Physician in Dallas, TX, registered under NPI 1558017962. This provider registers 14 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

This NPI is deactivated. The provider has retired, changed registration, or the number was retired by CMS. Details below are kept for reference — do not rely on them to arrange care.

Getting there

The practice address on file is 1140 EMPIRE CENTRAL DR STE 360, Dallas, TX 75247. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1140 EMPIRE CENTRAL DR STE 360, Dallas, TX 75247 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

All registered taxonomy codes

This provider registers 14 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208D00000X General Practice Physician primary
101YP2500X Professional Counselor Professional
103TC0700X Clinical Psychologist Clinical
207LP2900X Pain Medicine (Anesthesiology) Physician Pain Medicine
207Q00000X Family Medicine Physician
208100000X Physical Medicine & Rehabilitation Physician
208200000X Plastic Surgery Physician
2083P0011X Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Undersea and Hyperbaric Medicine
2083T0002X Medical Toxicology (Preventive Medicine) Physician Medical Toxicology
2084P0301X Brain Injury Medicine (Psychiatry & Neurology) Physician Brain Injury Medicine
213E00000X Podiatrist
224P00000X Prosthetist
225100000X Physical Therapist
225X00000X Occupational Therapist

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1558017962 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 24, 2022
Last updatedSep 26, 2023
StatusDeactivated
Sole proprietorNo
Practice address 1140 EMPIRE CENTRAL DR STE 360
Dallas, TX 75247
(972) 600-8438
Fax (214) 631-4702
This record was updated on Sep 26, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1558017962 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 5 8 0 1 7 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 1 8 0 1 5 9 3

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1558017962?
NPI 1558017962 is the National Provider Identifier assigned to MD SPECIALTY GROUP LLC in Dallas, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact MD SPECIALTY GROUP LLC?
The phone number on file with NPPES is (972) 600-8438, last updated Sep 26, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1558017962 a valid number?
Yes. 1558017962 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.