Individual provider Active NPI

Mustafa Mustansir Dohadwala, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Dallas, TX
National Provider Identifier
1275732604
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
P9840 Issued in TX
Practice address
8440 Walnut Hill LN Ste 700
Dallas, TX 75231-3824
Phone
(214) 361-3300
Fax
(214) 361-3437
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P9840 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X P9840 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN Ste 700
Dallas, TX 75231-3824

Mailing address

8440 Walnut Hill LN Ste 700
Dallas, TX 75231-3824
Phone (214) 361-3300

Other practice location 1

4510 Medical Center Dr Ste 108
McKinney, TX 75069-1624
Phone (214) 726-9292

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdohadwala303014@direct.sw.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813002205 TX Practitioner - Cardiac Electrophysiology 3577691245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Johns Hopkins University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

1820 Preston Park Blvd
Suite 1450
Plano, TX 75093-3691
Phone (972) 964-0363

3333 Colorado Blvd
Denton, TX 76210-6817
Phone (940) 381-2199

4001 Worth St
Dallas, TX 75246-1608

4700 Alliance Blvd
Plano, TX 75093-5323

5236 W University
4900 The Heart Group
McKinney, TX 75071-8185
Phone (469) 800-5350

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott and White the Heart Hospital Corinth Hospital, Denton, TX, CCN 670347
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9840TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 22, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 22, 2018 Accepting new patients
Healthtexas Provider Network Cardiovascular Disease Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5236 W University Dr
Ste 4900
McKinney, TX 75071
Phone (469) 800-5350

1820 Preston Park Blvd
Ste 1450
Plano, TX 75093
Phone (469) 800-4540

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: mdohadwala303014@direct.sw.org

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Dec 31, 2015
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Dec 31, 2015
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

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

Organizations & group practices 4

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 5

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275732604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313824",
            "telephone_number": "214-361-3300",
            "fax_number": "214-361-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313824",
            "telephone_number": "214-361-3300",
            "fax_number": "214-361-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Medical Center Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750691624",
            "country_code": "US",
            "telephone_number": "214-726-9292",
            "fax_number": "469-742-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOHADWALA",
        "first_name": "MUSTAFA",
        "middle_name": "MUSTANSIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P9840",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "P9840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdohadwala303014@direct.sw.org",
            "affiliation": "N",
            "address_1": "5236 W University Dr Ste 4900",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750718185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.