Active NPI
Jiya Medical Group PLLC
- Infectious Disease Physician
- Dallas, TX
National Provider Identifier
1154895563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- JIYA MEDICAL GROUP PLLC
- Practice address
- 7 Medical Pkwy
Dallas, TX 75234-7829 - Phone
- (469) 453-8118
- NPI assigned
- Jan 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suresh Kachhdiya
- Title
- President
- Phone
- (469) 453-8118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
7 Medical Pkwy
Dallas, TX 75234-7829
Mailing address
PO Box 251104
Plano, TX 75025-1104
Phone (214) 836-6676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 763564 | Other | TX | MEDICARE TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2761 E Trinity Mills Rd
Ste 100
Carrollton, TX 75006
Phone (972) 478-7300
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Dallas, TX
- NPI 1629365671
-
- Family Nurse Practitioner
- Garland, TX
- NPI 1598211658
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1942674270
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1528545233
-
- Infectious Disease Physician
- Greenville, TX
- NPI 1023389251
Internal Medicine
-
- Acute Care Nurse Practitioner
- Greenville, TX
- NPI 1700417466
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1154895563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251104",
"city": "PLANO",
"state": "TX",
"postal_code": "750251104",
"telephone_number": "214-836-6676",
"fax_number": "678-270-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MEDICAL PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347829",
"telephone_number": "469-453-8118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIYA MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-18",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "KACHHDIYA",
"authorized_official_first_name": "SURESH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-453-8118",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TX",
"identifier": "763564",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.