Individual provider Active NPI

Ajit M Dave, M.D.

  • Hematology & Oncology Physician
  • Denton, TX
National Provider Identifier
1043291347
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G8687 Issued in TX
Practice address
3327 Colorado Blvd
Suite #200
Denton, TX 76210-6865
Phone
(940) 382-4060
Fax
(940) 380-9282
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G8687 TX Primary

Addresses

Primary practice location

3327 Colorado Blvd
Suite #200
Denton, TX 76210-6865

Mailing address

3327 Colorado Blvd
Suite #200
Denton, TX 76210-6865
Phone (940) 382-4060

Other identifiers 3

IdentifierTypeStateIssuer
0020ECOtherTXBLUE CROSS BLUE SHIELD
0800070588OtherTXRAILROAD MEDICARE
121386005MedicaidTX

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
I20120119000070 TX Practitioner - Internal MedicinePractitioner - Hematology/Oncology 7810164696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3327 Colorado Blvd
Suite 200
Denton, TX 76210-6866
Phone (940) 382-4060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ajit Dave', M.D., P.a. Hematology & Oncology CurrentSince Jul 16, 2010 Accepting new patients
Ketaki B. Dave, M.D., P.a. Hematology & Oncology PastSince Jan 1, 2012 Accepting new patients

Locations

3327 Colorado Blvd
Ste 200
Denton, TX 76210
Phone (940) 382-4060

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1043291347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 COLORADO BLVD",
            "address_2": "SUITE #200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106865",
            "telephone_number": "940-382-4060",
            "fax_number": "940-380-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 COLORADO BLVD",
            "address_2": "SUITE #200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106865",
            "telephone_number": "940-382-4060",
            "fax_number": "940-380-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "AJIT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "G8687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0020EC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0800070588",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121386005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.