Umera Ghouse, MD - Medicare Family Practice in Dallas, TX

Umera Ghouse, MD is a medicare enrolled "Family Medicine" physician in Dallas, Texas. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Dallas County Hospital District and her current practice location is 3320 Live Oak St, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 266-1000.

Umera Ghouse is licensed to practice in Texas (license number N4427) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629283205.

Contact Information

Umera Ghouse, MD
3320 Live Oak St,
Dallas, TX 75204-6109
(214) 266-1000
Not Available

Map and Direction




Physician's Profile

Full NameUmera Ghouse
GenderFemale
SpecialityFamily Practice
Experience26 Years
Location3320 Live Oak St, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Umera Ghouse graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1629283205
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 02/28/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9436286853
  • Enrollment ID: I20100416000121

Medical Identifiers

Medical identifiers for Umera Ghouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629283205NPI-NPPES
211239309MedicaidTX
211239301MedicaidTX
211239305MedicaidTX
211239306MedicaidTX
211239308MedicaidTX
211239304MedicaidTX
211239307MedicaidTX
211239303MedicaidTX
211239302MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine N4427 (Texas)Primary
207Q00000XFamily Medicine 094047 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkland Health & Hospital SystemDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dallas County Hospital District8325934813483

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Umera Ghouse allows following entities to bill medicare on her behalf.
Entity NameDallas County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831198506
PECOS PAC ID: 8325934813
Enrollment ID: O20040315000583

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Umera Ghouse is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Umera Ghouse, MD
Po Box 660599,
Dallas, TX 75266-0599

Ph: () -
Umera Ghouse, MD
3320 Live Oak St,
Dallas, TX 75204-6109

Ph: (214) 266-1000

Reviews and Comments


Family Medicine Doctors in Dallas, TX

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.