Jyotsna S Prasad, MD
Individual provider Active NPI Family Medicine Physician · Dallas, TX
NPI 1477571883 · NPPES record last updated Dec 22, 2022
Key facts
- NPI
- 1477571883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L5100 (TX)
- Practice address
- 2428 Bahama Dr
Dallas, TX 75211-2121 - Phone
- (972) 900-0747
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- M Medical Group SE LLC
Practice addresses (Care Compare)
4200 Shepherd LN
Balch Springs, TX 75180-3423
Phone (972) 286-0335
Hospital & facility affiliations
- Good Shepherd Hospice of Dallas LLC
- Three Oaks Hospice
- Hope Health Care
- Vitas Healthcare of Texas LP
- Balch Springs Nursing Home
- Mesquite Tree Nursing Center
- The Renaissance at Kessler Park
- South Dallas Nursing & Rehabilitation
- Fair Park Health & Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| South Dallas Nursing and Rehabilitation |
Skilled nursing facility | Adp of the SNF | Jan 21, 2025 |
| The Renaissance at Kessler Park |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Nov 13, 2024 Nov 13, 2024 |
| Mesquite Tree Nursing Center |
Skilled nursing facility | Adp of the SNF | Feb 18, 2025 |
| Southeast Nursing & Rehabilitation Center |
Skilled nursing facility | Adp of the SNF | Apr 2, 2025 |
| Hope Health Care |
Hospice | Contracted Managing Employee | Aug 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050215001066 | TX | Practitioner - Family Practice |
4284686429 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Medical Group SE LLC | Current |
Accepting new patients | |
| Dallas Geriatrics Associates, P.a | Current |
Accepting new patients | |
| West Wharton County Hospital District | 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 |
| North Texas Inpatient and Geriatric Associates PA | Past | Accepting new patients | |
| Hamilton County Hospital District | 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 | |
| Coryell County Memorial Hospital Authority | Past | Accepting new patients |
Locations
150 E Laurel Ave
#759
Foley, AL 36535
445 E FM 1382
Ste 3354
Cedar Hill, TX 75104
Phone (214) 325-1969
224 W Pleasant Run Rd
Cedar Hill, TX 75104
Phone (972) 291-5977
820 S MacArthur Blvd
Ste 105392
Coppell, TX 75019
2815 Mlk Blvd
Dallas, TX 75215
Phone (214) 421-2159
3808 Sm Wright Fwy
Dallas, TX 75215
Phone (214) 428-2851
9009 Forest Ln
Dallas, TX 75243
Phone (972) 783-1771
2428 Bahama Dr
Dallas, TX 75211
Phone (214) 948-3811
3326 Burgoyne St
Dallas, TX 75233
Phone (214) 330-9291
1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140
4910 Wellington St
Greenville, TX 75402
Phone (903) 454-3772
1850 W Pleasant Run Rd
Lancaster, TX 75146
Phone (972) 275-1900
1241 Westridge Ave
Lancaster, TX 75146
Phone (972) 227-5110
1402 E Broad St
Mansfield, TX 76063
Phone (817) 477-2176
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L5100 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155140001 | Medicaid | TX | |
| 155140003 | Medicaid | TX | |
| 155140002 | Medicaid | TX | |
| 155140005 | Medicaid | TX | |
| 155140004 | Medicaid | TX |
Other providers in Dallas, TX
- Malavika Prakasan
- Sheena Gurwara Prakash
- Vikyath Prakash
- Jaclyn Michelle Pralat
- Aditya S Prasad
- Kavitha Prasad
- Keerthi D Prasad
- Kiran Prasad
- Nishita Prasad
- Shashank Shekhar Prasad
All providers in Dallas, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.