Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chase Knickerbocker, MD

Individual provider Surgery Physician · NPI 1982090536

Chase Knickerbocker, MD is a General Surgery in Dallas, Texas. Graduated from University of Miami, Lm Miller School of Medicine in 2015, 11 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone: (305) 951-5085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence S5410 (TX)
Surgery Physician Taxonomy 208600000X · Licence S5410 (TX)

Record details

NPI number1982090536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address9425 Sw 181st Ter, Surgery Dept., Palmetto Bay, FL 33157-5626

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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