NPIMap

Individual provider Active NPI

Devabrata Ganguly, M.D.

  • Internal Medicine Physician
  • Clarksville, TX
National Provider Identifier
1225077274
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7287 Issued in TX
Practice address
1210 W Main St
Clarksville, TX 75426-3523
Phone
(903) 427-0500
Fax
(903) 427-0503
NPI assigned
Jun 5, 2006
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K7287 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X K7287 TX

Addresses

Primary practice location

1210 W Main St
Clarksville, TX 75426-3523

Mailing address

3144 Clarksville St
Paris, TX 75460-8002
Phone (903) 784-8700

Other identifiers 3

IdentifierTypeStateIssuer
110247089OtherTXRAIL ROAD MEDICARE
0096JEOtherTXBCBS
044968802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000389 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1254339690 Reassigns benefits to 2 organizations
Practice locations: Paris, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3144 Clarksville St
Paris, TX 75460-8002
Phone (903) 784-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
9.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
31.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7287TXMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness & Hormone Therapy Clinic Current Accepting new patients
Infinite Medical PC CurrentSince Jun 1, 2023 Accepting new patients
Special Health Resources for Texas, Incorporated Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Special Health Resources for Texas, Incorporated Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Special Health Resources for Texas, Incorporated Past Accepting new patients
East Texas Medical Center-Clarksville Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Interoperability endpoints

  • Direct secure messaging: devbrata.ganguly@wchcl.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heritage House at Paris Rehab & NursingParis, TX, CCN 676294 Skilled nursing facility Adp of the SNF Feb 18, 2025
On Call HospiceParis, TX, CCN 741635 Hospice Contracted Managing Employee Mar 2, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1225077274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 CLARKSVILLE ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608002",
            "telephone_number": "903-784-8700",
            "fax_number": "903-784-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W MAIN ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754263523",
            "telephone_number": "903-427-0500",
            "fax_number": "903-427-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGULY",
        "first_name": "DEVABRATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7287",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K7287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110247089",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0096JE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044968802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TX

Sources for this page

Verify at the official NPI Registry.