Individual provider Active NPI

Gokul K Bysani, MD

  • Pediatric Critical Care Medicine Physician
  • Dallas, TX
National Provider Identifier
1023127131
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
N7782 Issued in TX
Practice address
7777 Forest LN Ste D569
Dallas, TX 75230-6903
Phone
(972) 566-8340
Fax
(972) 566-8338
NPI assigned
Aug 30, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 01058659 IN
Pediatric Critical Care Medicine Physician 2080P0203X 01058659 IN
Pediatric Critical Care Medicine Physician 2080P0203X N7782 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste D569
Dallas, TX 75230-6903

Mailing address

7777 Forest LN Ste D569
Dallas, TX 75230-6903
Phone (972) 566-8340

Other practice location 1

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700

Other identifiers 6

IdentifierTypeStateIssuer
200288950MedicaidIN
206300303MedicaidMO
217979801MedicaidTX
1023127131MedicaidMI
1800155MedicaidLA
036069391MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000454 TX Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 3577530252 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Pediatric Critical Care Medicine CurrentSince Aug 1, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Sep 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Sep 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Utmb Faculty Group Practice CurrentSince May 6, 2015 Accepting new patients
Pediatric Acute Care Associates of North Texas, PLLC Pediatric Critical Care Medicine Past Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients

Locations

1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-2429

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1023127131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE D569",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306903",
            "telephone_number": "972-566-8340",
            "fax_number": "972-566-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE D569",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306903",
            "telephone_number": "972-566-8340",
            "fax_number": "972-566-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-5700",
            "fax_number": "915-215-8872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYSANI",
        "first_name": "GOKUL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "IN",
            "license": "01058659",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "IN",
            "license": "01058659",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "N7782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200288950",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206300303",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217979801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023127131",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800155",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069391",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.