Individual provider Active NPI

Krupa Desai

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1164388930
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1217123 Issued in TX
Practice address
2115 University Dr Ste 240
Frisco, TX 75033-4801
Phone
(972) 236-7060
NPI assigned
Dec 24, 2025
Last updated
Dec 24, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1217123 TX Primary

Addresses

Primary practice location

2115 University Dr Ste 240
Frisco, TX 75033-4801

Mailing address

4949 Printers Way Apt 121
Frisco, TX 75033-3624

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
I20260211000212 TX Practitioner - Nurse Practitioner 5294214185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flow Health PCGroup PAC ID 4486147535, 4 clinicians

Practice addresses (Care Compare)

1903 Central Dr
Suite 215
Bedford, TX 76021-5865
Phone (407) 315-2271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1217123TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revive PCMS Frisco LLC CurrentSince Dec 20, 2025 Accepting new patients
Revive Med Partners I LLC CurrentSince Dec 20, 2025 Accepting new patients

Locations

2115 University Dr
Ste 240
Frisco, TX 75033
Phone (214) 548-5033

2570 Justin Rd
Ste 160
Lewisville, TX 75077
Phone (972) 236-7060

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1164388930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 PRINTERS WAY APT 121",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 UNIVERSITY DR STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334801",
            "telephone_number": "972-236-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KRUPA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1217123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.