Organization Active NPI

Bleu Anesthesia, PLLC

  • Anesthesiology Physician
  • Desoto, TX
National Provider Identifier
1194457721
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BLEU ANESTHESIA, PLLC
Practice address
1001 York Dr
Desoto, TX 75115-2083
Phone
(469) 210-9652
Fax
(469) 210-9652
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Pritesh Patel, DONPI 1356695688
Title
Owner
Phone
(978) 328-8686

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1001 York Dr
Desoto, TX 75115-2083

Mailing address

3503 W Wheatland Rd Ste 100
Dallas, TX 75237-4410
Phone (469) 313-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313001858 TX Part B Supplier - Clinic/Group Practice 6305210436 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3503 W Wheatland Rd
Ste 100
Dallas, TX 75237
Phone (469) 313-0040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1194457721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 W WHEATLAND RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374410",
            "telephone_number": "469-313-0040",
            "fax_number": "469-210-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152083",
            "telephone_number": "469-210-9652",
            "fax_number": "469-210-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEU ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-328-8686",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.

Verify at the official NPI Registry.