Individual provider Active NPI

Kirandeep Saini, NP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1023731973
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1089150 Issued in TX
Practice address
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone
(617) 505-1520
Fax
(617) 928-8401
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1089150 TX Primary
Nurse Practitioner 363L00000X 1089150 TX

Addresses

Primary practice location

325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923

Mailing address

109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205001553 TX Practitioner - Nurse Practitioner 4082062864 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Form Health Associates Ma, P.C.Group PAC ID 3375953961, 42 clinicians
Legacy Heartcare of Dallas, LLCGroup PAC ID 6305029653, 22 clinicians

Practice addresses (Care Compare)

325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (617) 505-1520

4716 Dexter Dr
Suite 200
Plano, TX 75093-5562
Phone (972) 490-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1089150TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Form Health Associates Ma, P.C. CurrentSince Nov 3, 2025 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Nov 14, 2023 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Nov 13, 2023 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Nov 13, 2023 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Sep 10, 2023 Accepting new patients
Legacy Heart Care of North Dallas, LLC CurrentSince Nov 5, 2023 Accepting new patients
Form Health Associates, P.C. Past Accepting new patients

Locations

109 State St
Ste 5
Boston, MA 02109

7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

Interoperability endpoints

  • Direct secure messaging: kirandeep.saini@168064768409604.direct.elationemr.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1023731973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092906",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N SAINT PAUL ST STE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013923",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINI",
        "first_name": "KIRANDEEP",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1089150",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1089150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.