NPIMap

Individual provider Active NPI

Jyotsna S Prasad, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1477571883
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5100 Issued in TX
Practice address
2428 Bahama Dr
Dallas, TX 75211-2121
Phone
(972) 900-0747
NPI assigned
Jul 17, 2006
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L5100 TX Primary

Addresses

Primary practice location

2428 Bahama Dr
Dallas, TX 75211-2121

Mailing address

820 S Macarthur Blvd Ste 105-392
Coppell, TX 75019-4216
Phone (972) 900-0747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215001066 TX Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 4284686429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Undersea and Hyperbaric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group SE LLCGroup PAC ID 4385037670, 20 clinicians

Practice addresses (Care Compare)

4200 Shepherd LN
Balch Springs, TX 75180-3423
Phone (972) 286-0335

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group SE LLC CurrentSince Dec 1, 2022 Accepting new patients
Dallas Geriatrics Associates, P.a CurrentSince Nov 27, 2016 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
North Texas Inpatient and Geriatric Associates PA Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Premier Provider Health PA Past Accepting new patients
Modern Senior Living LLC Past Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Hamilton County Hospital District Past Accepting new patients

Locations

150 E Laurel Ave
#759
Foley, AL 36535

224 W Pleasant Run Rd
Cedar Hill, TX 75104
Phone (972) 291-5977

445 E FM 1382
Ste 3354
Cedar Hill, TX 75104
Phone (214) 325-1969

820 S MacArthur Blvd
Ste 105392
Coppell, TX 75019

2428 Bahama Dr
Dallas, TX 75211
Phone (214) 948-3811

2815 Mlk Blvd
Dallas, TX 75215
Phone (214) 421-2159

3326 Burgoyne St
Dallas, TX 75233
Phone (214) 330-9291

3808 Sm Wright Fwy
Dallas, TX 75215
Phone (214) 428-2851

9009 Forest Ln
Dallas, TX 75243
Phone (972) 783-1771

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

4910 Wellington St
Greenville, TX 75402
Phone (903) 454-3772

1241 Westridge Ave
Lancaster, TX 75146
Phone (972) 227-5110

1850 W Pleasant Run Rd
Lancaster, TX 75146
Phone (972) 275-1900

1402 E Broad St
Mansfield, TX 76063
Phone (817) 477-2176

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

101 Reese Dr
Red Oak, TX 75154
Phone (469) 552-0500

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

300 E Brown St
Wylie, TX 75098
Phone (972) 442-3553

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Dallas Nursing and RehabilitationDallas, TX, CCN 675440 Skilled nursing facility Adp of the SNF Jan 21, 2025
The Renaissance at Kessler ParkDallas, TX, CCN 455996 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 13, 2024
Nov 13, 2024
Mesquite Tree Nursing CenterMesquite, TX, CCN 675033 Skilled nursing facility Adp of the SNF Feb 18, 2025
Southeast Nursing & Rehabilitation CenterSan Antonio, TX, CCN 675883 Skilled nursing facility Adp of the SNF Apr 2, 2025
Hope Health CareGarland, TX, CCN 741556 Hospice Contracted Managing Employee Aug 1, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 9

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": "1671667200000",
    "number": "1477571883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MACARTHUR BLVD STE 105-392",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194216",
            "telephone_number": "972-900-0747",
            "fax_number": "972-393-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 BAHAMA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112121",
            "telephone_number": "972-900-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "JYOTSNA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.