Individual provider Active NPI

Priyanka Chaudhry, M.D

  • Neurology Physician
  • Coppell, TX
National Provider Identifier
1366600702
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P3614 Issued in TX
Practice address
125 W State Highway 121 Ste 100
Coppell, TX 75019-7987
Phone
(972) 564-0352
Fax
(972) 552-7447
NPI assigned
May 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P3614 TX Primary

Addresses

Primary practice location

125 W State Highway 121 Ste 100
Coppell, TX 75019-7987

Mailing address

106 Olympia LN
Coppell, TX 75019-5071
Phone (972) 564-0352

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
I20120730000249 TX Practitioner - Neurology 7618133042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Olympia LN
Coppell, TX 75019-5071

125 W State Hwy 121
Suite 100
Coppell, TX 75019-7987
Phone (214) 203-0012

9101 N Central Expy
Suite 400
Dallas, TX 75231-6009
Phone (214) 820-9272

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3614TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Headaches, PLLC Neurology CurrentSince Oct 10, 2017 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Neurology PastSince Aug 1, 2025 Accepting new patients

Locations

125 W State Highway 121
Ste 100
Coppell, TX 75019
Phone (214) 203-0012

9101 N Central Expy
Ste 400
Dallas, TX 75231
Phone (214) 820-9272

Organizations & group practices 2

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.

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": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1366600702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OLYMPIA LN",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195071",
            "telephone_number": "972-564-0352",
            "fax_number": "972-552-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W STATE HIGHWAY 121 STE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197987",
            "telephone_number": "972-564-0352",
            "fax_number": "972-552-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "PRIYANKA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P3614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.