Individual provider Active NPI

Anshu Dalela, M.D.

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1518200799
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
268969 Issued in NY
Practice address
4909 Golden Triangle Blvd Ste 231
Fort Worth, TX 76244-4480
Phone
(682) 297-5437
Fax
(682) 228-6447
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 268969 NY Primary

Addresses

Primary practice location

4909 Golden Triangle Blvd Ste 231
Fort Worth, TX 76244-4480

Mailing address

706 Manchester CT
Southlake, TX 76092-8930
Phone (347) 413-2135

Other identifiers 1

IdentifierTypeStateIssuer
R1010OtherTXTEXAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268969NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luvncare Pediatrics, LLC Pediatrics CurrentSince Aug 15, 2021 Accepting new patients

Locations

4909 Golden Triangle Blvd
Ste 231
Fort Worth, TX 76244
Phone (682) 297-5437

Organizations & group practices 1

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1518200799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 MANCHESTER CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928930",
            "telephone_number": "347-413-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 GOLDEN TRIANGLE BLVD STE 231",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444480",
            "telephone_number": "682-297-5437",
            "fax_number": "682-228-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALELA",
        "first_name": "ANSHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "268969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "R1010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.