Active NPI
Priya Balakrishnan, P.A.-C.
- Medical Physician Assistant
- Bedford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- K3302
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289075802 | Medicaid | TX |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| K3302 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Physician Assistant | Current | Accepting new patients |
| Medical Clinic of North Texas PLLC | Current | 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
- priyabalakrishnan@tusdfw.medalliesdirect.net
- 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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
dba USMD Physician Services
- Internal Medicine Physician
- Arlington, TX
- NPI 1033167234
Physician Assistant
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
-
- Medical Oncology Physician
- Webster, TX
- NPI 1821265265
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Urology Physician
- Dallas, TX
- NPI 1700831484
-
- Urology Physician
- Weatherford, TX
- NPI 1407849961
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UT Southwestern University Hospital
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.