Individual provider Active NPI

Dayaker Gagadam, M.D.

  • Pulmonary Disease Physician
  • Fort Worth, TX
National Provider Identifier
1093765729
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K3195 Issued in TX
Practice address
923 College Ave Ste 103
Fort Worth, TX 76104-3051
Phone
(817) 293-3000
Fax
(817) 293-3291
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X K3195 TX
Pulmonary Disease Physician 207RP1001X K3195 TX Primary

Addresses

Primary practice location

923 College Ave Ste 103
Fort Worth, TX 76104-3051

Mailing address

923 College Ave Ste 103
Fort Worth, TX 76104-3051
Phone (817) 293-3000

Other identifiers 1

IdentifierTypeStateIssuer
122066703MedicaidTX

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
I20061020000152 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 6103712948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

923 College Ave
Suite 103
Fort Worth, TX 76104-3050
Phone (817) 293-3000

Merit-based Incentive Payment System (MIPS)

Final score
20.14 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayaker R. Gagadam M.D.PA Pulmonary Disease CurrentSince May 11, 2011 Accepting new patients

Locations

11803 South Fwy
Ste 208
Burleson, TX 76028
Phone (817) 293-3000

11803 South Fwy
Ste 215
Burleson, TX 76028
Phone (817) 293-3000

923 College Ave
Ste 103
Fort Worth, TX 76104
Phone (817) 293-3000

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1093765729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 COLLEGE AVE STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043051",
            "telephone_number": "817-293-3000",
            "fax_number": "817-293-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 COLLEGE AVE STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043051",
            "telephone_number": "817-293-3000",
            "fax_number": "817-293-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGADAM",
        "first_name": "DAYAKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "K3195",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K3195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122066703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.