Active NPI
Nidhi Kacholiya, M.D.
- Diagnostic Radiology Physician
- Hurst, TX
National Provider Identifier
1043463318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- N7931
- Practice address
- 1845 Precinct Line Rd Ste 209
Second Floor
Hurst, TX 76054-3109 - Phone
- (817) 336-4638
- Fax
- (817) 336-7637
- NPI assigned
- Oct 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | L-231724 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | N7931 | TX | Primary |
Addresses
Primary practice location
1845 Precinct Line Rd Ste 209
Second Floor
Hurst, TX 76054-3109
Mailing address
1845 Precinct Line Rd Ste 209
Second Floor
Hurst, TX 76054-3109
Phone (817) 336-4638
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01070266 | Other | TX | RR MEDICARE |
| 301863201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-231724 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Btdi JV, LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physiological Laboratory
- Waco, TX
- NPI 1932928652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1043463318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 PRECINCT LINE RD STE 209",
"address_2": "SECOND FLOOR",
"city": "HURST",
"state": "TX",
"postal_code": "760543109",
"telephone_number": "817-336-4638",
"fax_number": "817-336-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 PRECINCT LINE RD STE 209",
"address_2": "SECOND FLOOR",
"city": "HURST",
"state": "TX",
"postal_code": "760543109",
"telephone_number": "817-336-4638",
"fax_number": "817-336-7637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHOLIYA",
"first_name": "NIDHI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "L-231724",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "N7931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01070266",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301863201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.