Individual provider Active NPI

Sivavasavi Kumar Dinakaran, M.D

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1487781282
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M5135 Issued in TX
Practice address
1204 Sandy Shore Rd
Irving, TX 75063-5407
Phone
(972) 800-9735
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M5135 TX Primary

Addresses

Primary practice location

1204 Sandy Shore Rd
Irving, TX 75063-5407

Mailing address

1204 Sandy Shore Rd
Irving, TX 75063-5407
Phone (972) 800-9735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1487781282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 SANDY SHORE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635407",
            "telephone_number": "972-800-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SANDY SHORE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635407",
            "telephone_number": "972-800-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINAKARAN",
        "first_name": "SIVAVASAVI",
        "middle_name": "KUMAR",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M5135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.