Individual provider Active NPI

Mandeep Acharya, MD

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1366778540
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P2937 Issued in TX
Practice address
9191 Kyser Way Ste 205
Frisco, TX 75033-2783
Phone
(972) 643-8727
NPI assigned
Oct 23, 2009
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125056161 IL
Internal Medicine Physician 207R00000X P2937 TX Primary
Hospitalist Physician 208M00000X P2937 TX

Addresses

Primary practice location

9191 Kyser Way Ste 205
Frisco, TX 75033-2783

Mailing address

9191 Kyser Way Ste 205
Frisco, TX 75033-2783
Phone (972) 643-8727

Other practice location 1

777 Main St Ste 500
Frisco, TX 75036
Phone (972) 643-8727

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
I20121108000615 TX Practitioner - Internal Medicine 0941451405 Reassigns benefits to 2 organizations
Practice locations: Frisco, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Primary Care Clinic PLLCGroup PAC ID 9335494707, 7 clinicians

Practice addresses (Care Compare)

9191 Kyser Way
Suite 205
Frisco, TX 75033-2783
Phone (972) 643-8727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125056161ILMDInternal Medicine Physician
P2937TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Internists Associates, PLLC Internal Medicine CurrentSince Feb 4, 2017 Accepting new patients
Texas Primary Care Clinic, PLLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Texas Primary Care Specialists, PLLC Past Accepting new patients
Texas Primary Care Specialists, PLLC Past Accepting new patients
Texas Primary Care Specialists, PLLC Past Accepting new patients
Texas Primary Care Specialists, PLLC Past Accepting new patients

Locations

9191 Kyser Way
Ste 205
Frisco, TX 75033
Phone (972) 643-8727

275 W Campbell Rd
Ste 260
Richardson, TX 75080

331 Melrose Dr
Ste 220
Richardson, TX 75080
Phone (469) 828-1903

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7775/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mandeep.acharya@txazdt.eclinicaldirectplus.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1366778540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 KYSER WAY STE 205",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332783",
            "telephone_number": "972-643-8727",
            "fax_number": "972-643-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 KYSER WAY STE 205",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332783",
            "telephone_number": "972-643-8727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 MAIN ST STE 500",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75036",
            "country_code": "US",
            "telephone_number": "972-643-8727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHARYA",
        "first_name": "MANDEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-23",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125056161",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P2937",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P2937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.