NPIMap

Individual provider Active NPI

Aravind R Sanjeevaiah, M.D.

  • Medical Oncology Physician
  • Waxahachie, TX
National Provider Identifier
1093913196
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
Q5924 Issued in TX
Practice address
2380 S. I-35E
Waxahachie, TX 75165
Phone
(469) 843-6000
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Q5924 TX
Medical Oncology Physician 207RX0202X Q5924 TX Primary

Addresses

Primary practice location

2380 S. I-35E
Waxahachie, TX 75165

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131025001490 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5799910899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2380 S I
35E Baylor Scott and White
Waxahachie, TX 75165
Phone (469) 800-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5924TXMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 14, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 14, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2016 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2016 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 31, 2013 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

Interoperability endpoints

  • Direct secure messaging: asanjeevaiah1194783@direct.sw.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1093913196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-4673",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 S. I-35E",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "469-843-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJEEVAIAH",
        "first_name": "ARAVIND",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "Q5924",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "Q5924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.