Individual provider Active NPI

Menuka Prasain Dhakal, FNP-C

  • Adult Medicine Physician
  • Windcrest, TX
National Provider Identifier
1508691510
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
1156110 Issued in TX
Practice address
5253-2 Walzem Rd.
Windcrest, TX 78218
Phone
(210) 876-1451
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 1156110 TX Primary

Addresses

Primary practice location

5253-2 Walzem Rd.
Windcrest, TX 78218

Mailing address

5253-2 Walzem Rd.
Windcrest, TX 78218
Phone (210) 876-1451

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
I20241022002627 TX Practitioner - Nurse Practitioner 4789116237 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1156110TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC CurrentSince Jan 1, 2025 Accepting new patients
Carefront Medical Group, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Complete Care Partners LLC Past Accepting new patients

Locations

1014 Paris St
#A
Castroville, TX 78009
Phone (830) 500-3161

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

4926 Golden Quail
Ste 104
San Antonio, TX 78240
Phone (210) 876-1451

5253 Walzem Rd
Ste 2
Windcrest, TX 78218
Phone (210) 599-0456

Organizations & group practices 3

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": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1508691510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253-2 WALZEM RD.",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "78218",
            "telephone_number": "210-876-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253-2 WALZEM RD.",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "78218",
            "telephone_number": "210-876-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAIN DHAKAL",
        "first_name": "MENUKA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "1156110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

Verify at the official NPI Registry.