Individual provider Active NPI

Nidhi Kacholiya, M.D.

  • Diagnostic Radiology Physician
  • Hurst, TX
National Provider Identifier
1043463318
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N7931 Issued in TX
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

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01070266OtherTXRR MEDICARE
301863201MedicaidTX

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

LicenseStateTypeSpecialty
L-231724MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV, LLP PastSince Jul 2, 2013 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.

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.

Verify at the official NPI Registry.