Dtm Wellness PLLC
NPI 1306478417 · Pain Medicine Physician · Tyler, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dtm Wellness PLLC is a Pain Medicine Physician organization in Tyler, TX (NPI 1306478417).
Provider details
- NPI number
- 1306478417
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derek Mitchell, Owner, Authorized Official(972) 920-6968
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-06
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Frequently asked questions
- What is Dtm Wellness PLLC's NPI number?
- Dtm Wellness PLLC's National Provider Identifier (NPI) is 1306478417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dtm Wellness PLLC?
- Dtm Wellness PLLC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dtm Wellness PLLC located?
- Dtm Wellness PLLC's practice location on file with NPPES is 601 Shelley Park Plz, Tyler, TX 75701-9457.
- What is Dtm Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dtm Wellness PLLC is (972) 920-6968.
- Does Dtm Wellness PLLC accept Medicare?
- Dtm Wellness PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dtm Wellness PLLC?
- The authorized official listed on Dtm Wellness PLLC's NPPES record is Derek Mitchell, Owner, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dtm Wellness PLLC's NPI active?
- Yes — Dtm Wellness PLLC's NPI (1306478417) is active in the NPPES registry as of the last update on 2020-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.