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Dr. L. Michelle Booth , MD

Pediatrics β€’ Fort Worth, TX

Active NPI 1891767232 Individual Practitioner Female Practitioner
Practice location in NPPES

1401 W Pulaski St
Fort Worth, TX 761042717

Call 6828858012 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1401 W Pulaski St

Fort Worth, TX 761042717

Telephone 6828858012
Fax 6828858014
Organization at the Same NPPES Address or Phone
Cook Children's Medical Center Facility NPI 1952642787

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Dallas, TX; The Colony, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Booth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Booth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Worth and Texas

164 active clinicians are listed under Pediatrics with a practice address in Fort Worth, TX (5,642 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Worth

0% of these 164 clinicians have the CMS telehealth indicator.

4.9% of these 164 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX H6062

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CO 32065

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES VA 0101252892

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20201125001838

Enrollment State Jurisdiction

TX

PECOS Control ID

9739195066

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1935 Medical District Dr

Dallas, TX 752357701

Phone: 2144569250

5151 State Highway 121

The Colony, TX 75056

Phone: 2144885437

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Lauren Crumm , PA-C

Physician Assistant

NPI 1821490897

Physician Assistant (Certified)

Rebecca Dudley , PA-C

Physician Assistant

NPI 1447552898

Physician Assistant (Certified)

Leigh Fleury , PA-C

Physician Assistant

NPI 1942590450

Physician Assistant (Certified)

Kelly Greenwood , PA-C

Physician Assistant

NPI 1275151102

Physician Assistant (Certified)

Victoria Harber , PA

Physician Assistant

NPI 1790159721

Physician Assistant

Dana Kennedy , CPNP

Nurse Practitioner - Family

NPI 1457933541

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2022

Pediatrics (license number reported to NPPES: CO 32065)

πŸ“
Updated Practice Location April 14, 2021

Registered at 1401 W PULASKI ST, FORT WORTH, TX 761042717 (Tel: 6828858012)

πŸ“
Updated Business Mailing Address April 14, 2021

Registered at PO BOX 99213, FORT WORTH, TX 761990213 (Tel: 6828851860)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2021

Pediatrics (license number reported to NPPES: TX H6062)

πŸ“
Updated Practice Location July 20, 2018

Registered at 5151 STATE HIGHWAY 121, THE COLONY, TX 75056 (Tel: 2144885437)

πŸ“
Updated Business Mailing Address July 20, 2018

Registered at 5151 STATE HIGHWAY 121, THE COLONY, TX 750562601 (Tel: 2144885437)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2018

Pediatrics (license number reported to NPPES: CO 32065)

βœ…
NPI Profile Active February 01, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 01, 2016

Registered at 1935 MEDICAL DISTRICT DR, DALLAS, TX 752357701 (Tel: 2144569250)

πŸ“
Business Mailing Address (Initial Record) February 01, 2016

Registered at 1935 MEDICAL DISTRICT DR, DALLAS, TX 752357701 (Tel: 2144569250)

πŸ‘€
Provider Name / Credentials (Initial Record) February 01, 2016

Recorded as L. BOOTH, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2016

Pediatrics (license number reported to NPPES: TX H6062)

🟒
Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891767232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: January 26, 2022
Sole Proprietor: No

Other Pediatrics Specialists in Fort Worth

All Pediatrics Specialists in Fort Worth

Mailing Address

Po Box 99213

Fort Worth, TX 761990213

Phone: 6828851860

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.