Active NPI
Varadendra B Panchamukhi, M.D.
- Interventional Cardiology Physician
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036100960
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060070688 | Other | IL | RAILROAD |
| 036100960 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 24 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-100960 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Specialists of North Texas, PLLC | Interventional Cardiology | Current | 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
- 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.
-
- Interventional Cardiology Physician
- Dallas, TX
- NPI 1689984585
-
- Orthopaedic Surgery Physician
- Irving, TX
- NPI 1982892105
-
- Surgery Physician
- Denton, TX
- NPI 1134522691
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
dba Medical City Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
dba Medical City Las Colinas
- General Acute Care Hospital
- Irving, TX
- NPI 1902857766
-
dba Medical City McKinney
- General Acute Care Hospital
- McKinney, TX
- NPI 1437102639
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.