Individual provider Active NPI

Natasha Naresh Dave, M.D.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1508206954
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
BP10055331 Issued in TX
Practice address
6620 Main St
11D32.5
Houston, TX 77030-2348
Phone
(713) 798-5808
NPI assigned
Jun 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X BP10055331 TX Primary

Addresses

Primary practice location

6620 Main St
11D32.5
Houston, TX 77030-2348

Mailing address

5100 NW 33Rd Ave Ste 245
Oakland Park, FL 33309-6381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210121000889 FL Practitioner - Nephrology 5799199451 Reassigns benefits to 2 organizations
I20210607003045 AZ Practitioner - Nephrology 5799199451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mogilishetty PLLCGroup PAC ID 0648680579, 7 clinicians

Practice addresses (Care Compare)

3400 Lee Blvd
Suite 112
Lehigh Acres, FL 33971-1309
Phone (239) 939-0999

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10055331TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC CurrentSince May 1, 2022 Accepting new patients
Einfectionmd PC Nephrology CurrentSince Jun 1, 2021 Accepting new patients
Mogilishetty PLLC Nephrology CurrentSince Feb 1, 2024 Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

9520 W Palm Ln
Ste 150
Phoenix, AZ 85037
Phone (602) 584-5444

7981 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 425-6633

3400 Lee Blvd
Ste 112
Lehigh Acres, FL 33971

12250 Tamiami Trl E
Ste 103104
Naples, FL 34113
Phone (239) 513-1002

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: natasha.dave.1@22073.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1508206954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 NW 33RD AVE STE 245",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333096381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST",
            "address_2": "11D32.5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302348",
            "telephone_number": "713-798-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "NATASHA",
        "middle_name": "NARESH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "BP10055331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.