Individual provider Active NPI

Kiran Mianoor

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1134877210
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15187 Issued in TX
Practice address
8390 LBJ Fwy Ste 1000
Dallas, TX 75243-1288
Phone
(214) 750-9977
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15187 TX Primary

Addresses

Primary practice location

8390 LBJ Fwy Ste 1000
Dallas, TX 75243-1288

Mailing address

8390 LBJ Fwy Ste 1000
Dallas, TX 75243-1288

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809003187 TX Practitioner - Physician Assistant 6305228289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

8390 Lyndon B Johnson Fwy
Suite 1000
Dallas, TX 75243-1288
Phone (214) 750-9977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15187TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Mar 1, 2026 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 6, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 6, 2022 Accepting new patients
Neurology Consultants of Dallas, P.a. Current Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2026 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

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

8390 Lyndon B Johnson Fwy
Ste 1000
Dallas, TX 75243
Phone (214) 750-9977

6101 W Plano Pkwy
Ste 200
Plano, TX 75093
Phone (214) 310-9023

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: kiranmianoor@ncdpa.allscriptsdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1134877210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 LBJ FWY STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 LBJ FWY STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431288",
            "telephone_number": "214-750-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIANOOR",
        "first_name": "KIRAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.