Individual provider Active NPI

Charuta Narayan Joshi, MBBS, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1609055771
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T4534 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7106
Phone
(214) 648-3111
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X T4534 TX Primary
Epilepsy Physician 2084E0001X T4534 TX
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 37486 IA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X DR.0056782 CO

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7106

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 590-8000

Other practice location 1

3800 Gaylord Pkwy Ste 850
Frisco, TX 75034-0248
Phone (469) 857-2222

Other practice location 2

5700 Dallas Pkwy
Frisco, TX 75034-9580
Phone (469) 515-7100

Other practice location 3

2222 Welborn St
Dallas, TX 75219-3924
Phone (214) 559-5000

Other practice location 4

13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Other identifiers 2

IdentifierTypeStateIssuer
71371OtherIAWELLMARK BCBS
T4534OtherTXLICENSE

Other names 1

  • Charuta Abhay Divekar Other name

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
I20241029002977 TX Practitioner - Neurology 3375630700 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37486IAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Scottish Rite Hospital for Crippled Children Neurology With Special Qualifications in Child Neurology CurrentSince Jul 24, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Children'S Health System of Texas Past Accepting new patients
Texas Scottish Rite Hospital for Crippled Children Past Accepting new patients

Locations

1935 Medical District Dr
Unit A
Dallas, TX 75235

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

5700 Dallas Pkwy
Frisco, TX 75034
Phone (469) 515-7100

3800 Gaylord Pkwy
Ste 850
Frisco, TX 75034
Phone (469) 857-2222

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1609055771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-590-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907106",
            "telephone_number": "214-648-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Gaylord Pkwy Ste 850",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750340248",
            "country_code": "US",
            "telephone_number": "469-857-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750349580",
            "country_code": "US",
            "telephone_number": "469-515-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Welborn St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752193924",
            "country_code": "US",
            "telephone_number": "214-559-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13123 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "CHARUTA",
        "middle_name": "NARAYAN",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T4534",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TX",
            "license": "T4534",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IA",
            "license": "37486",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CO",
            "license": "DR.0056782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "71371",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "T4534",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARUTA",
            "last_name": "DIVEKAR",
            "middle_name": "ABHAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.