Individual provider Active NPI

Meenakshi Prabhakar, MD

  • Infectious Disease Physician
  • Bedford, TX
National Provider Identifier
1467424812
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
K3401 Issued in TX
Practice address
2636 Tibbets Dr Ste 110
Bedford, TX 76022-6919
Phone
(817) 858-0065
Fax
(817) 283-5520
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X K3401 TX Primary

Addresses

Primary practice location

2636 Tibbets Dr Ste 110
Bedford, TX 76022-6919

Mailing address

PO Box 802772
Dallas, TX 75380-2772
Phone (972) 484-7700

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
I20120329000894 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 6608850839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Doctors, PAGroup PAC ID 1557345774, 17 clinicians

Practice addresses (Care Compare)

2636 Tibbets Dr
Suite 110
Bedford, TX 76022-6919
Phone (817) 585-0065

Hospital & facility affiliations

  • Amatus Health Care LLC Home health agency, Farmers Branch, TX, CCN 747682
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Baylor Scott and White Medical Center Frisco at PG Hospital, Frisco, TX, CCN 670346
  • Methodist Celina Medical Center Hospital, Celina, TX, CCN 670340
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

Merit-based Incentive Payment System (MIPS)

Final score
20.18 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
67.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3401TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
I.D. Doctors Pharmacy CurrentSince Apr 10, 2022 Accepting new patients

Locations

2636 Tibbets Dr
Bedford, TX 76022
Phone (817) 858-0065

2636 Tibbets Dr
Ste 110
Bedford, TX 76022
Phone (817) 585-0065

Interoperability endpoints

  • Direct secure messaging: mprabhakar@direct.uspi.com
  • Direct secure messaging: mprabhakar@iddoctors.ssdirect.aprima.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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1467424812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802772",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753802772",
            "telephone_number": "972-484-7700",
            "fax_number": "972-484-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 TIBBETS DR STE 110",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226919",
            "telephone_number": "817-858-0065",
            "fax_number": "817-283-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHAKAR",
        "first_name": "MEENAKSHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.