Individual provider Active NPI

Bhawana Pradhan

  • Family Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1295252195
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134602 Issued in TX
Practice address
502 N Valley Pkwy # 1
Lewisville, TX 75067-3437
Phone
(972) 353-8616
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP134602 TX
Family Nurse Practitioner 363LF0000X AP134602 TX Primary

Addresses

Primary practice location

502 N Valley Pkwy # 1
Lewisville, TX 75067-3437

Mailing address

3015 Cross Timbers Dr
Irving, TX 75060-4713

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bpradhan460969@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171031000250 TX Practitioner - Nurse Practitioner 6507132974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2740 N State Hwy 360
Suite 100
Grand Prairie, TX 75050-6409
Phone (214) 820-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134602TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 16, 2017 Accepting new patients
Reliant Health, Inc. CurrentSince Apr 22, 2023 Accepting new patients
Jalil a Khan, MD, PA CurrentSince Aug 1, 2017 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 16, 2017 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

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

3500 Gaston Ave
Dallas, TX 75246

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

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2740 N State Highway 360
Ste 100
Grand Prairie, TX 75050
Phone 9726068300 ext. 266

2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050

3600 Conflans Rd
Ste 200
Irving, TX 75061
Phone (972) 262-2260

2021 N MacArthur Blvd
Ste 115
Irving, TX 75061
Phone (972) 253-4315

502 N Valley Pkwy
Ste 1
Lewisville, TX 75067
Phone (972) 353-8616

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1295252195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 CROSS TIMBERS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N VALLEY PKWY # 1",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-353-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "BHAWANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP134602",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpradhan460969@direct.sw.org",
            "affiliation": "N",
            "address_1": "2005 W Park Dr Ste 300",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750612034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.