Individual provider Active NPI

Deepak Asti, M.D

  • Interventional Cardiology Physician
  • Desoto, TX
National Provider Identifier
1154633600
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
T4612 Issued in TX
Practice address
925 York Dr
Desoto, TX 75115-2043
Phone
(972) 572-1600
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 272352 NY
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X T4612 TX Primary
Interventional Cardiology Physician 207RI0011X 272352 NY

Addresses

Primary practice location

925 York Dr
Desoto, TX 75115-2043

Mailing address

2101 Shannon Oxmoor Rd # 270
Shannon, AL 35142-2000
Phone (205) 880-7575

Other practice location 1

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150916000423 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981911468 Reassigns benefits to 3 organizations
I20220301000536 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4981911468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elite Cardiovascular Group PLLCGroup PAC ID 2567853153, 3 clinicians

Practice addresses (Care Compare)

925 York Dr
Desoto, TX 75115-2043
Phone (972) 572-1600

Hospital & facility affiliations

  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T4612TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Single Specialty CurrentSince Mar 1, 2019 Accepting new patients
Elite Cardiovascular Group PLLC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
Wyckoff Professional Medical Services, PC Single Specialty CurrentSince Aug 5, 2018 Accepting new patients
New York Heart and Vascular Specialists PC Single Specialty CurrentSince May 14, 2018 Accepting new patients
Suryanarayan Anand MD PC Single Specialty PastSince May 14, 2018 Accepting new patients

Locations

117 Gemini Cir
Ste 403
Homewood, AL 35209

2101 Shannon Oxmoor Rd
#270
Shannon, AL 35142

1471 DeKalb Ave
Fl 4
Brooklyn, NY 11237
Phone (347) 425-1789

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

3309 Church Ave
Brooklyn, NY 11203
Phone (347) 425-1789

130 E 77th St
Fl 7
New York, NY 10075
Phone (212) 744-8114

300 Community Dr
Plandome, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

925 York Dr
Desoto, TX 75115
Phone (972) 572-1600

1018 E Wheatland Rd
Duncanville, TX 75116
Phone (214) 915-8967

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2302 Lone Star Rd
Ste 160
Mansfield, TX 76063
Phone (817) 871-9069

Interoperability endpoints

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

Organizations & group practices 5

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 2

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1154633600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SHANNON OXMOOR RD # 270",
            "city": "SHANNON",
            "state": "AL",
            "postal_code": "351422000",
            "telephone_number": "205-880-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-572-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "10305",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASTI",
        "first_name": "DEEPAK",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "272352",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "T4612",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "272352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.