Ismail Boodhwani Jr., FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139370 Issued in TX

Practice address

4004 Worth St Ste 200
Dallas, TX 75246-1640

Phone

(214) 521-5191

Fax

(214) 623-6807

NPI assigned

Oct 22, 2018

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AIDS Arms, Inc.Group PAC ID 7719940774, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ismail.boodhwani.1@29669.direct.athenahealth.com
• Direct secure messaging: ismail.boodhwani@tscm.eclinicaldirectplus.com

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.

• AIDS Arms, Inc.

  dba Prism Health North Texas

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1609852813
  Medicare reassignment Care Compare group NPD
• Old Mission Wound Care Texas PLLC

  • Specialist
  • Traverse City, MI
  • NPI 1386484277

  TX

  Medicare reassignment NPD
• Texas Specialty Clinic

  • Family Medicine Physician
  • Lancaster, TX
  • NPI 1154821429
  Medicare reassignment
• AIDS Arms, Inc.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1841986999
  NPD
• Guardian Biologics LLC

  • Specialist
  • Mount Juliet, TN
  • NPI 1033890876
  NPD

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1033685680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 WORTH ST STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461640",
            "telephone_number": "214-521-5191",
            "fax_number": "214-623-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 WORTH ST STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461640",
            "telephone_number": "214-521-5191",
            "fax_number": "214-623-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOODHWANI",
        "first_name": "ISMAIL",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary L Bonsu, PSY.D
• Frances Beth Bontempo, PH.D.
• Justin John Bontke, LCSW-S
• Codie Bontz, DDS, MS
• Andrea Bonzell
• Lueretha Yvonne Booker, MA
• Shelley Booker, D.C.
• Vance Wayne Booker Jr., O.D.
• Carol Boone, RN
• Courtney Boone, PA-C

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.