Individual provider Active NPI

Nilanjana Sen Dasgupta, M.D.

  • Internal Medicine Physician
  • Round Rock, TX
National Provider Identifier
1598703084
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8029 Issued in TX
Practice address
3950 N a W Grimes Blvd Ste N104
Round Rock, TX 78665-3540
Phone
(877) 800-5722
Fax
(512) 238-9294
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L8029 TX Primary

Addresses

Primary practice location

3950 N a W Grimes Blvd Ste N104
Round Rock, TX 78665-3540

Mailing address

205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (877) 800-5722

Other practice location 1

3950 N A W Grimes Blvd Ste N301A
Round Rock, TX 78665-3540
Phone (877) 800-5722

Other identifiers 1

IdentifierTypeStateIssuer
165212501MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nilanjana.dasgupta.p1@direct.lscctx.nextgenshare.com
Direct Messaging Address nilanjana.dasgupta.p1@direct.lscctx.nextgenshare.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000801 TX Practitioner - Internal Medicine 4981694338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Community Clinic IncGroup PAC ID 1951337237, 17 clinicians

Practice addresses (Care Compare)

1101 Camino la Costa
Austin, TX 78752-3911

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
People's Community Clinic, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Peoples Community Clinic Inc CurrentSince Jan 1, 2023 Accepting new patients
Kumar Sathianathan, Mdpa Internal Medicine Past Accepting new patients
Tony Shallin, Mdpa Internal Medicine Past Accepting new patients

Locations

1101 Camino La Costa
Austin, TX 78752
Phone (512) 478-4939

10335 US Highway 290 E
Bldg 35
Manor, TX 78653
Phone (512) 478-4939

Interoperability endpoints

  • Direct secure messaging: ndasgupta668422@direct.ochin.org

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1598703084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "877-800-5722",
            "fax_number": "512-869-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N A W GRIMES BLVD STE N104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653540",
            "telephone_number": "877-800-5722",
            "fax_number": "512-238-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 N A W Grimes Blvd Ste N301A",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653540",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "fax_number": "512-218-1377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASGUPTA",
        "first_name": "NILANJANA",
        "middle_name": "SEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165212501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nilanjana.dasgupta.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3950 N A W Grimes Blvd Ste N301A",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786653540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nilanjana.dasgupta.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3950 N A W Grimes Blvd Ste N104",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786653540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.