Individual provider Active NPI

Priya Balakrishnan, P.A.-C.

  • Medical Physician Assistant
  • Bedford, TX
National Provider Identifier
1528342342
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
K3302 Issued in TX
Practice address
1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936
Phone
(817) 784-8268
Fax
(817) 283-8003
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X K3302 TX Primary
Physician Assistant 363A00000X PA07505 TX

Addresses

Primary practice location

1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936

Mailing address

1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936
Phone (817) 784-8268

Other practice location 1

1631 Lancaster Dr
Suite 350
Grapevine, TX 76051-3585
Phone (817) 784-8268

Other practice location 2

4300 City Point Dr Ste 201
North Richland Hills, TX 76180-8338
Phone (817) 284-8222

Other identifiers 1

IdentifierTypeStateIssuer
289075802MedicaidTX

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
I20111227000523 TX Practitioner - Physician Assistant 4082880919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

2001 Inwood Rd
Dallas, TX 75390-7202
Phone (214) 645-0538

4201 Brown TRL
Suite 101
Colleyville, TX 76034-3941
Phone (682) 217-2102

5450 Clearfork Main St
Suite 420
Fort Worth, TX 76109-3569
Phone (817) 784-8268

7777 Forest LN
Suite C618
Dallas, TX 75230-6855
Phone (972) 566-5400

7777 Forest LN
Suite C707
Dallas, TX 75230-6861
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

811 W Interstate 20
Suite 114
Arlington, TX 76017-5871
Phone (817) 784-8268

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3302TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 20, 2026 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 20, 2026 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC Physician Assistant CurrentSince Sep 1, 2012 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Sep 1, 2012 Accepting new patients
Urology Associates of North Texas LLP Past Accepting new patients

Locations

811 W Interstate 20
Ste 114
Arlington, TX 76017

1615 Hospital Pkwy
Ste 204
Bedford, TX 76022
Phone (817) 684-5002

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

935 York Dr
Desoto, TX 75115
Phone (972) 591-0954

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

5450 Clearfork Main St
Ste 420
Fort Worth, TX 76109
Phone (817) 334-1465

1631 Lancaster Dr
Ste 350
Grapevine, TX 76051
Phone (214) 915-8502

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4300 City Point Dr
Ste 201
North Richland Hills, TX 76180
Phone (817) 284-8222

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

2001 Inwood Rd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-8000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

925 Santa Fe Dr
Ste 114
Weatherford, TX 76086
Phone (817) 303-4521

Interoperability endpoints

  • Direct secure messaging: priyabalakrishnan@tusdfw.medalliesdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1528342342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 204",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225936",
            "telephone_number": "817-784-8268",
            "fax_number": "817-283-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 204",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225936",
            "telephone_number": "817-784-8268",
            "fax_number": "817-283-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 Lancaster Dr",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513585",
            "country_code": "US",
            "telephone_number": "817-784-8268",
            "fax_number": "817-421-2167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 City Point Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761808338",
            "country_code": "US",
            "telephone_number": "817-284-8222",
            "fax_number": "817-595-5718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALAKRISHNAN",
        "first_name": "PRIYA",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "K3302",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289075802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.