Organization Active NPI

Dallas Medical Partners PLLC

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1457972291
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DALLAS MEDICAL PARTNERS PLLC
Practice address
3900 Junius St Ste 405
Dallas, TX 75246-1615
Phone
(214) 827-7600
Fax
(214) 827-0076
NPI assigned
May 4, 2020
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Pratik Chandrakant Kapadia, MDNPI 1447260955
Title
Vice- President
Phone
(214) 360-9901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3900 Junius St Ste 405
Dallas, TX 75246-1615

Mailing address

3900 Junius St Ste 405
Dallas, TX 75246-1615
Phone (214) 827-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201012002909 TX Part B Supplier - Clinic/Group Practice 2769802834 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2185567Dallas Medical Partners, PLLC3900 Junius St Suite 405, Dallas, TX 75246Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

3600 Gaston Ave
Ste 1004
Dallas, TX 75246
Phone (214) 827-7600

3900 Junius St
Ste 405
Dallas, TX 75246
Phone (214) 827-7600

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1457972291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 405",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461615",
            "telephone_number": "214-827-7600",
            "fax_number": "214-827-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 405",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461615",
            "telephone_number": "214-827-7600",
            "fax_number": "214-827-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS MEDICAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_middle_name": "CHANDRAKANT",
        "authorized_official_title_or_position": "VICE- PRESIDENT",
        "authorized_official_telephone_number": "214-360-9901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.