OrganizationActive
Extended Medical Management Services, Inc.
NPI 1861577579 · Geriatric Medicine (Internal Medicine) Physician · Dallas, TX
Provider details
- NPI number
- 1861577579
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derrick Bowman, President(469) 330-2444
- License
- 506447 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
13140 Coit Rd
Suite 212
Dallas, TX 75240-5755
Phone: (469) 330-2444
Fax: (469) 330-2396
Street-level locationGet directions
Mailing address
13140 Coit Rd
Dallas, TX 75240-5755
Other names (DBA / former)
- Doing business as
- Homecare Doctors of America-Dallas
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.