RICHARD DICKERMAN M.D. NPI 1174565048

NPI Information

  • NPI: 1174565048
  • Provider Name: RICHARD DICKERMAN, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1411 N BECKLEY AVE
    PAV III, SUITE 268
    DALLAS, TX
    ZIP 75203
  • Phone: (214) 947-4400

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NPI Details

Richard Dickerman, M.D. is a surgery in Dallas, TX with 55 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Richard Dickerman, M.D. NPI is 1174565048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1971

The provider's business location address is:

1411 N BECKLEY AVE
PAV III, SUITE 268
DALLAS, TX
ZIP 75203-259
Phone: (214) 947-4400
Fax: (214) 947-4436

The NPI 1174565048 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Creation of artery-vein connection using tube graft for hemodialysis (HCPCS:36830)
  • Transplantation of donor kidney (HCPCS:50360)
  • Preparation of donor kidney for transplantation (HCPCS:50323)
  • Removal of abdominal cavity tube (HCPCS:49422)
  • Insertion of abdominal cavity tube using an endoscope (HCPCS:49324)
  • Revision of hemodialysis graft (HCPCS:36832)
  • Tying or banding of surgically created artery-vein connection (HCPCS:37607)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)

The enumeration date for this NPI number is 6/12/2006 and was last updated on 6/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryE7053TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18DF390OTHERTEXASBLUE CROSS BLUE SHIELD OF TEXAS
2B22256MEDICARE UPIN
3TXB150931MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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