Individual provider Active NPI

Dipesh Ramesh Rana, PAC

  • Medical Physician Assistant
  • Garland, TX
National Provider Identifier
1477827087
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA05772 Issued in TX
Practice address
5025 Glen Vista Dr
Garland, TX 75044-5511
Phone
(972) 693-7467
NPI assigned
Feb 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA05772 TX Primary

Addresses

Primary practice location

5025 Glen Vista Dr
Garland, TX 75044-5511

Mailing address

5025 Glen Vista Dr
Garland, TX 75044-5511
Phone (972) 693-7467

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000428 TX Practitioner - Physician Assistant 1759543143 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05772TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Doctors Now, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Procare Housecalls Inc PastSince Nov 12, 2023 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1477827087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 GLEN VISTA DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445511",
            "telephone_number": "972-693-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 GLEN VISTA DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445511",
            "telephone_number": "972-693-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA",
        "first_name": "DIPESH",
        "middle_name": "RAMESH",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.