Individual provider Active NPI

Arnav Roopkumar Pondicherry, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1306307624
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2023-01247 Issued in NC
Practice address
1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone
(972) 449-0540
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M-17271 ID
Psychiatry Physician 2084P0800X 036.167267 IL
Psychiatry Physician 2084P0800X 2023-01247 NC Primary

Addresses

Primary practice location

1717 Main St Ste 5850
Dallas, TX 75201-7317

Mailing address

1717 Main St Ste 5850
Dallas, TX 75201-7317

Other practice location 1

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ID, MA, TX, NC, IL, VA, NJ, PA, MI, NE, CA, AZ, NY14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20230926001253 NH Practitioner - Psychiatry 5092040246 Reassigns benefits to 2 organizations
I20241024003776 ID Practitioner - Psychiatry 5092040246 Reassigns benefits to 4 organizations
I20241213001800 MA Practitioner - Psychiatry 5092040246 Reassigns benefits to 2 organizations
I20250102001661 TX Practitioner - Psychiatry 5092040246 Reassigns benefits to 2 organizations
I20250106001268 NC Practitioner - Psychiatry 5092040246 Reassigns benefits to 1 organization
I20250109001394 IL Practitioner - Psychiatry 5092040246 Reassigns benefits to 6 organizations
I20250205000306 VA Practitioner - Psychiatry 5092040246 Reassigns benefits to 1 organization
I20250305000298 NJ Practitioner - Psychiatry 5092040246 Reassigns benefits to 1 organization
I20250310001867 PA Practitioner - Psychiatry 5092040246 Reassigns benefits to 1 organization
I20250311000939 MI Practitioner - Psychiatry 5092040246 Reassigns benefits to 1 organization
I20250325000795 NE Practitioner - Psychiatry 5092040246 Reassigns benefits to 1 organization
I20250331003389 CA Practitioner - Psychiatry 5092040246 Reassigns benefits to 2 organizations
I20250512002526 AZ Practitioner - Psychiatry 5092040246 Reassigns benefits to 1 organization
I20260612001614 NY Practitioner - Psychiatry 5092040246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

Canton, MA 02021
Phone (972) 449-0540

MC Lean, VA 22101
Phone (972) 449-0450

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

Austin, TX 78704
Phone (972) 449-0540

San Mateo, CA 94402
Phone (972) 449-0540

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (972) 449-0540

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (972) 449-0540

17200 St Luke's Way
The Woodlands, TX 77384-8007
Phone (972) 449-0540

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (972) 449-0540

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (972) 449-0540

4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540

41 Highland Ave
Winchester, MA 01890-1446
Phone (972) 449-0540

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (972) 449-0540

6250 US Hwy 83
Suite 84
Abilene, TX 79606-5215
Phone (972) 449-0540

7 Timberwood Dr
Lebanon, NH 03766-4467
Phone (972) 449-0540

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (972) 449-0540

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-17271IDMDPsychiatry Physician
036.167267ILMDPsychiatry Physician
2023-01247NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Current Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Sep 21, 2024 Accepting new patients
Access Telecare California, P.C. Psychiatry CurrentSince Sep 23, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 22, 2025 Accepting new patients
Forefront-Rush Medical Service PA Psychiatry CurrentSince Aug 3, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 22, 2025 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation Psychiatry CurrentSince Aug 12, 2025 Accepting new patients
St. Mary's Hospital Inc CurrentSince Dec 14, 2024 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Current Accepting new patients
St. Mary's Hospital Inc CurrentSince Dec 14, 2024 Accepting new patients
Kootenai Health, Inc. Psychiatry Current Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Sep 21, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Jan 22, 2025 Accepting new patients
Tele-Physicians, P.C. Psychiatry Past Accepting new patients
Ap US 14, PA PastSince Oct 15, 2023 Accepting new patients

Locations

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

501 Oak St
Nezperce, ID 83543
Phone (208) 937-2496

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

45 School St
Ste 202
Boston, MA 02108
Phone (908) 731-0819

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • Direct secure messaging: apondicherry21762@direct.svmh.com

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1306307624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-5085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDICHERRY",
        "first_name": "ARNAV",
        "middle_name": "ROOPKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-17271",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.167267",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2023-01247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.