Individual provider Active NPI

Durga Mainaly

  • Acute Care Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1356049753
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1112064 Issued in TX
Practice address
321 N Highland Ave Ste 200
Sherman, TX 75092-7371
Phone
(903) 893-5141
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 838810 TX
Acute Care Nurse Practitioner 363LA2100X 1112064 TX Primary

Addresses

Primary practice location

321 N Highland Ave Ste 200
Sherman, TX 75092-7371

Mailing address

321 N Highland Ave Ste 200
Sherman, TX 75092-7371
Phone (903) 893-5141

Other practice location 1

2209 Christopher Ln
Euless, TX 76040-5775
Phone (469) 260-8472

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
I20230705000277 TX Practitioner - Nurse Practitioner 6002275351 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
838810TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 26, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 26, 2023 Accepting new patients
Texoma Neurology Associates, PA PastSince Aug 1, 2012 Accepting new patients
Talis Healthcare LLC PastSince May 24, 2023 Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

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

3417 Gaston Ave
Ste 980
Dallas, TX 75246
Phone (469) 800-8020

1600 W College St
Ste 640
Grapevine, TX 76051
Phone (817) 481-2121

Interoperability endpoints

  • Direct secure messaging: dmainaly607218@direct.sw.org

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1356049753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927371",
            "telephone_number": "903-893-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927371",
            "telephone_number": "903-893-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 Christopher Ln",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760405775",
            "country_code": "US",
            "telephone_number": "469-260-8472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAINALY",
        "first_name": "DURGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "838810",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1112064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.