Individual provider Active NPI

Pragadeeswari Dhanasekaran, MD

  • Pediatrics Physician
  • Prosper, TX
National Provider Identifier
1366975336
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S4126 Issued in TX
Practice address
2120 Prairie Dr Ste 102
Prosper, TX 75078-3818
Phone
(972) 544-9455
Fax
(972) 544-9465
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X S4126 TX
Pediatrics Physician 208000000X S4126 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2120 Prairie Dr Ste 102
Prosper, TX 75078-3818

Mailing address

2120 Prairie Dr Ste 102
Prosper, TX 75078-3818
Phone (972) 544-9455

Other practice location 1

2148 N Lake Forest Dr Ste 304
McKinney, TX 75071
Phone (972) 544-9455

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Direct

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
I20210318001392 TX Practitioner - Pediatric Medicine 0244647253 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prishiv Enterprises Inc Multi-Specialty CurrentSince Feb 26, 2021 Accepting new patients

Locations

2148 N Lake Forest Dr
Ste 304
McKinney, TX 75071
Phone (972) 544-9455

8951 Collin McKinney Pkwy
Ste 902
McKinney, TX 75070
Phone (972) 544-9455

Organizations & group practices 1

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1366975336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 PRAIRIE DR STE 102",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783818",
            "telephone_number": "972-544-9455",
            "fax_number": "972-544-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PRAIRIE DR STE 102",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783818",
            "telephone_number": "972-544-9455",
            "fax_number": "972-544-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2148 N Lake Forest Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "75071",
            "country_code": "US",
            "telephone_number": "972-544-9455",
            "fax_number": "972-544-9465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHANASEKARAN",
        "first_name": "PRAGADEESWARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "S4126",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S4126",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR API",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2120 Prairie Dr Ste 102",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750783818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.