Individual provider Active NPI

Jasbir Dhawan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Frisco, TX
National Provider Identifier
1063458230
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N0729 Issued in TX
Practice address
14725 Lebanon Road
Suite 100
Frisco, TX 75035
Phone
(214) 705-9000
Fax
(214) 619-5675
NPI assigned
Jun 22, 2006
Last updated
Jan 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2001010856 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N0729 TX Primary

Addresses

Primary practice location

14725 Lebanon Road
Suite 100
Frisco, TX 75035

Mailing address

14725 Lebanon Road
Suite 100
Frisco, TX 75035
Phone (214) 705-9000

Other identifiers 5

IdentifierTypeStateIssuer
100413460BMedicaidKS
P00116533OtherRR MEDICARE
2087666303MedicaidMO
100053530AMedicaidOK
143561OtherMOANTHEM

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
I20090807000662 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 3971578964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14725 Lebanon Rd
Suite 100
Frisco, TX 75035-5507

14725 Lebanon Rd
Suite 100
Frisco, TX 75035-5529
Phone (214) 705-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.59 of 100Reported as individual
Quality
93.76
Promoting interoperability
99
Improvement activities
40
Cost
72.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0729TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Endocrinology and Diabetes Center, P.a. Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2009 Accepting new patients
Taking Health to Heart, PLLC Past Accepting new patients
Midwest Internal Medicine, PC Internal Medicine Past Accepting new patients

Locations

14725 Lebanon Rd
Ste 1
Frisco, TX 75035

14725 Lebanon Rd
Ste 100
Frisco, TX 75035
Phone (214) 705-9000

4500 Hillcrest Rd
Ste 140
Frisco, TX 75035
Phone (214) 705-9000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEFHAA/Endpoint/CEFHAA

Organizations & group practices 3

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 4

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1063458230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14725 LEBANON ROAD",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "214-705-9000",
            "fax_number": "214-619-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14725 LEBANON ROAD",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "214-705-9000",
            "fax_number": "214-619-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "JASBIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001010856",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N0729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100413460B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00116533",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087666303",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100053530A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "143561",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.