Individual provider Active NPI

Varadendra B Panchamukhi, M.D.

  • Interventional Cardiology Physician
  • McKinney, TX
National Provider Identifier
1447332457
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036100960 Issued in IL
Practice address
4510 Medical Center Dr Ste 108
McKinney, TX 75069-1624
Phone
(214) 726-9292
Fax
(214) 361-3431
NPI assigned
Oct 19, 2006
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-100960 IL
Cardiovascular Disease Physician 207RC0000X 036100960 IL
Interventional Cardiology Physician 207RI0011X 036100960 IL Primary

Addresses

Primary practice location

4510 Medical Center Dr Ste 108
McKinney, TX 75069-1624

Mailing address

8440 Walnut Hill LN Ste 700
Dallas, TX 75231-3824
Phone (214) 361-3300

Other practice location 1

1600 Coit Rd Ste 306
Plano, TX 75075-6172
Phone (214) 361-3300

Other practice location 2

8440 Walnut Hill Ln Ste 700
Dallas, TX 75231-3824
Phone (214) 361-3300

Other practice location 3

5680 Frisco Square Blvd Ste 2500
Frisco, TX 75034-3315
Phone (214) 361-3300

Other practice location 4

1600 Coit Rd Ste 308
Plano, TX 75075-6173
Phone (214) 361-3300

Other identifiers 2

IdentifierTypeStateIssuer
060070688OtherILRAILROAD
036100960MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VARADENDRA.PANCHAMUKHI@hca7.eclinicaldirectplus.com

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
I20190403002905 TX Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5799725974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Specialists of North Texas PLLCGroup PAC ID 1456535624, 69 clinicians

Practice addresses (Care Compare)

1100 Allied Dr
Plano, TX 75093-5348
Phone (972) 566-8855

11970 N Central Expy
Dallas, TX 75243-3768

12228 N Central Expy
Suite 210
Dallas, TX 75243-3744
Phone (214) 361-3300

1600 Coit Rd
Plano, TX 75075-6172

3537 S I 35
Suite 305
Denton, TX 76210-6803
Phone (940) 384-4599

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000

4750 President George Bush Tpke
Sachse, TX 75048-4283
Phone (972) 519-1295

5500 Frisco Square Blvd
Frisco, TX 75034-3305
Phone (214) 618-0500

5575 Frisco Square Blvd
Suite 240
Frisco, TX 75034-3313
Phone (214) 361-3300

6800 N Macarthur Blvd
Irving, TX 75039-2422
Phone (972) 969-2010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-100960ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of North Texas, PLLC Interventional Cardiology CurrentSince Apr 1, 2019 Accepting new patients
Surgery Associates of NTX, PLLC Past Accepting new patients
Southern Illinois Hospital Services Past Accepting new patients
Elite Orthopaedics of Irving PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12228 N Central Expy
Ste 210
Dallas, TX 75243
Phone (214) 826-6044

8440 Walnut Hill Ln
Ste 700
Dallas, TX 75231
Phone (214) 361-3400

3537 S Interstate 35 E
Ste 305
Denton, TX 76210
Phone (940) 384-4595

5575 Frisco Square Blvd
Ste 240
Frisco, TX 75034

5680 Frisco Square Blvd
Ste 2500
Frisco, TX 75034
Phone (469) 284-8990

4510 Medical Center Dr
Ste 108
McKinney, TX 75069
Phone (214) 726-9292

4820 Medical Center Dr
Ste 410
McKinney, TX 75069

503 N Maple St
Muenster, TX 76252
Phone (940) 612-8840

8479 Davis Blvd
Ste 300
North Richland Hills, TX 76182
Phone (817) 479-3818

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

1600 Coit Rd
Ste 306
Plano, TX 75075
Phone (972) 566-7050

1600 Coit Rd
Ste 308
Plano, TX 75075
Phone (888) 642-6882

Interoperability endpoints

  • Direct secure messaging: varadendra.panchamukhi@hca7.eclinicaldirectplus.com

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

Hospital & facility affiliations 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1447332457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313824",
            "telephone_number": "214-361-3300",
            "fax_number": "214-361-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DR STE 108",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691624",
            "telephone_number": "214-726-9292",
            "fax_number": "214-361-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Coit Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756172",
            "country_code": "US",
            "telephone_number": "214-361-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8440 Walnut Hill Ln Ste 700",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752313824",
            "country_code": "US",
            "telephone_number": "214-361-3300",
            "fax_number": "214-361-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Frisco Square Blvd Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343315",
            "country_code": "US",
            "telephone_number": "214-361-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Coit Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756173",
            "country_code": "US",
            "telephone_number": "214-361-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHAMUKHI",
        "first_name": "VARADENDRA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-100960",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036100960",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036100960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060070688",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100960",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VARADENDRA.PANCHAMUKHI@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "8440 Walnut Hill Ln Ste 700",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752313824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.