Individual provider Active NPI

Mahendra Mahatma, M.D.

  • Gastroenterology Physician
  • Irving, TX
National Provider Identifier
1437176187
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
H8739 Issued in TX
Practice address
6500 Sierra Dr
Suite 170
Irving, TX 75039-2480
Phone
(972) 570-5884
Fax
(972) 570-0779
NPI assigned
Jul 17, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X H8739 TX Primary

Addresses

Primary practice location

6500 Sierra Dr
Suite 170
Irving, TX 75039-2480

Mailing address

6500 Sierra Dr
Suite 170
Irving, TX 75039-2480
Phone (972) 570-5884

Other identifiers 1

IdentifierTypeStateIssuer
098320701MedicaidTX

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
I20040402000524 TX Practitioner - Gastroenterology 9436141991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6500 Sierra Dr
Suite 170
Irving, TX 75039-2480
Phone (972) 331-1590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.13 of 100Reported as individual
Quality
83.95
Improvement activities
40
Cost
75.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy130
Upper gastrointestinal (GI) endoscopy for acid reflux69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8739TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahendra Mahatma, M.D., P.a. CurrentSince Feb 23, 2013 Accepting new patients
Advanced Endoscopy Consultants PLLC PastSince Sep 27, 2024 Accepting new patients

Locations

1701 W Royal Ln
Ste 200
Irving, TX 75063
Phone (888) 436-8491

6500 Sierra Dr
#170
Irving, TX 75039
Phone (972) 331-1590

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBFCD/Endpoint/GIBFCD
  • Direct secure messaging: mahendra.mahatma@drm.eclinicaldirectplus.com
  • Direct secure messaging: mmahatma@direct.uspi.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1437176187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SIERRA DR",
            "address_2": "SUITE 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392480",
            "telephone_number": "972-570-5884",
            "fax_number": "972-570-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SIERRA DR",
            "address_2": "SUITE 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392480",
            "telephone_number": "972-570-5884",
            "fax_number": "972-570-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHATMA",
        "first_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "H8739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098320701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.