Dayaker R. Gagadam M.D.PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

K3195 Issued in TX

Legal business name

DAYAKER R. GAGADAM M.D.PA

Practice address

11803 South Fwy
Suite 208
Burleson, TX 76028-7012

Phone

(817) 293-3000

Fax

(817) 293-3291

NPI assigned

Jul 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dayaker Rao Gagadam, M.D.,NPI 1093765729

Title

President

Phone

(817) 293-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Dayaker Gagadam, M.D.

  • Pulmonary Disease Physician
  • Fort Worth, TX
  • NPI 1093765729
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1295013233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FWY",
            "address_2": "SUITE 208",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287012",
            "telephone_number": "817-293-3000",
            "fax_number": "817-293-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FWY",
            "address_2": "SUITE 208",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287012",
            "telephone_number": "817-293-3000",
            "fax_number": "817-293-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYAKER R. GAGADAM M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "GAGADAM",
        "authorized_official_first_name": "DAYAKER",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-293-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K3195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122066703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Jordan Darwin, D.O.
• April Daugherty
• Karla K Davidson-Cox, M.D.
• Kiersten Davis
• Ryan Austin Davis
• Daybreak Community Services
• Daybreak Community Services
• Jean Pierre Ryan De Oliveira
• Dennis M Dean, O.D.
• Heather Suzanne Dean, AU.D.

• Pulmonary Disease Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.