Individual provider Active NPI

Pravin Kumar Sah, MD

  • Pediatric Pulmonology Physician
  • Dallas, TX
National Provider Identifier
1609014851
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
P3235 Issued in TX
Practice address
7777 Forest LN
Suite B-309
Dallas, TX 75230-2571
Phone
(972) 566-6996
Fax
(972) 566-3107
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X P3235 TX Primary
Pediatric Critical Care Medicine Physician 2080P0203X P3235 TX

Addresses

Primary practice location

7777 Forest LN
Suite B-309
Dallas, TX 75230-2571

Mailing address

7777 Forest LN
Suite B-309
Dallas, TX 75230-2571
Phone (972) 566-6996

Other practice location 1

7211 Preston Rd Ste T3900
Plano, TX 75024-4700
Phone (972) 566-6996

Other identifiers 2

IdentifierTypeStateIssuer
308993001MedicaidTX
8DG839OtherTXBCBS

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
I20170607001907 TX Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 4880962299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Pulmonary Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7777 Forest LN
Suite B309
Dallas, TX 75230-2540
Phone (214) 456-9250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3235TXMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Sleep Solutions LLC CurrentSince Aug 18, 2024 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Jul 1, 2021 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatric Pulmonology Current Accepting new patients

Locations

7777 Forest Ln
Ste B309
Dallas, TX 75230
Phone (972) 566-6996

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

7211 Preston Rd
Ste 3801
Plano, TX 75024

7211 Preston Rd
Ste 3900
Plano, TX 75024

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

7000 W Plano Pkwy
Ste 205
Plano, TX 75093
Phone (940) 498-2264

7211 Preston Rd
Ste 4900
Plano, TX 75024
Phone (469) 303-8440

7211 Preston Rd
Ste T3900
Plano, TX 75024
Phone (972) 566-6996

Interoperability endpoints

  • Direct secure messaging: psah84502@direct.childrens.com

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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1609014851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B-309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-6996",
            "fax_number": "972-566-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B-309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-6996",
            "fax_number": "972-566-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Preston Rd Ste T3900",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750244700",
            "country_code": "US",
            "telephone_number": "972-566-6996",
            "fax_number": "972-566-3107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAH",
        "first_name": "PRAVIN",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TX",
            "license": "P3235",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "P3235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308993001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DG839",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.