Individual provider Active NPI

Pranav Dilip Bhakta, PA

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1295392124
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13048 Issued in TX
Practice address
2855 Preston Rd
Frisco, TX 75034-9438
Phone
(469) 495-9118
NPI assigned
May 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13048 TX Primary

Addresses

Primary practice location

2855 Preston Rd
Frisco, TX 75034-9438

Mailing address

2855 Preston Rd
Frisco, TX 75034-9438
Phone (469) 495-9118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pbhakta2017244@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20200329000611 TX Practitioner - Physician Assistant 6507295458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

125 Davis Blvd
Southlake, TX 76092-8209
Phone (682) 212-9104

3805 W University Dr
Suite 100
McKinney, TX 75071-2944
Phone (469) 495-9102

6411 E Northwest Hwy
Suite 120
Dallas, TX 75231-8007
Phone (469) 495-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13048TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Physician Assistant CurrentSince Feb 1, 2022 Accepting new patients

Locations

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

2855 Preston Rd
Frisco, TX 75034
Phone (469) 495-9118

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: pbhakta2017244@direct.texashealth.org
  • Direct secure messaging: pbhakta279052@ahs.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1295392124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 PRESTON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349438",
            "telephone_number": "469-495-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 PRESTON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349438",
            "telephone_number": "469-495-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "PRANAV",
        "middle_name": "DILIP",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-27",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbhakta2017244@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2855 Preston Rd",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750349438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.