Individual provider Active NPI

Neeraja Dasari, M.D.

  • Radiation Oncology Physician
  • Decatur, TX
National Provider Identifier
1306884853
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
L4901 Issued in TX
Practice address
2010 Ben Merritt Dr Unit a
Decatur, TX 76234-3853
Phone
(940) 626-2300
Fax
(940) 626-2315
NPI assigned
Jun 4, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X L4901 TX Primary

Addresses

Primary practice location

2010 Ben Merritt Dr Unit a
Decatur, TX 76234-3853

Mailing address

PO Box 2078
Decatur, TX 76234-6156
Phone (940) 626-2300

Other practice location 1

1415 Santa Fe St
Corpus Christi, TX 78404-2105
Phone (361) 861-9703

Other identifiers 2

IdentifierTypeStateIssuer
162100506MedicaidTX
8PD228OtherTXBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000068 TX Practitioner - Radiation Oncology 5092880591 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1415 Santa Fe St
Corpus Christi, TX 78404-2105
Phone (361) 861-9760

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4901TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Hospital Authority Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 8, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Apr 13, 2021 Accepting new patients
Hendrick Provider Network CurrentSince Apr 13, 2021 Accepting new patients
Wise Clinical Care Associates Radiation Oncology CurrentSince Mar 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 8, 2024 Accepting new patients
Texas Oncology Care, PLLC Radiation Oncology Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

1415 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 861-9760

2010 Ben Merritt Dr
Unit A
Decatur, TX 76234
Phone (940) 626-2300

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

2604 Saint Michael Dr
Ste 238
Texarkana, TX 75503
Phone (903) 614-5480

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: dmcndasar@yourcarecommunity.org
  • Direct secure messaging: n.dasari@choicecancercare.direct.varian.com
  • Direct secure messaging: ndasari343607@christushealth.direct-ci.net
  • Direct secure messaging: neerajadasari@wise.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1306884853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346156",
            "telephone_number": "940-626-2300",
            "fax_number": "940-626-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BEN MERRITT DR UNIT A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343853",
            "telephone_number": "940-626-2300",
            "fax_number": "940-626-2315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Santa Fe St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042105",
            "country_code": "US",
            "telephone_number": "361-861-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASARI",
        "first_name": "NEERAJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "L4901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162100506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8PD228",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.