Active NPI
Jaya Vanjani, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1285178269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K1947
- Practice address
- 18732 Greenside Dr
Dallas, TX 75252-2691 - Phone
- (972) 768-5086
- NPI assigned
- Dec 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K1947 | TX | Primary |
Addresses
Primary practice location
18732 Greenside Dr
Dallas, TX 75252-2691
Mailing address
18732 Greenside Dr
Dallas, TX 75252-2691
Phone (972) 768-5086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1947 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481414400000",
"number": "1285178269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18732 GREENSIDE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752522691",
"telephone_number": "972-768-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18732 GREENSIDE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752522691",
"telephone_number": "972-768-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANJANI",
"first_name": "JAYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-11",
"last_updated": "2016-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K1947",
"primary": true
}
],
"identifiers": [],
"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 Dec 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.