Individual provider Active NPI

Suresh Kachhdiya, M.D.

  • Infectious Disease Physician
  • Dallas, TX
National Provider Identifier
1629365671
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
P7291 Issued in TX
Practice address
Wound Care Center
7 Medical Pkwy
Dallas, TX 75234-7829
Phone
(469) 453-8118
Fax
(972) 888-7047
NPI assigned
Jun 28, 2011
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P7291 TX
Infectious Disease Physician 207RI0200X P7291 TX Primary

Addresses

Primary practice location

Wound Care Center
7 Medical Pkwy
Dallas, TX 75234-7829

Mailing address

PO Box 251104
Plano, TX 75025-1104

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
I20141031001445 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 5597986737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jiya Medical Group PLLCGroup PAC ID 4587902747, 4 clinicians
Prime Infectious Disease Group PLLCGroup PAC ID 2961890801, 2 clinicians

Practice addresses (Care Compare)

7 Medical Pkwy
Dallas, TX 75234-7829
Phone (972) 888-7014

9 Medical Pkwy
Suite 102
Dallas, TX 75234-7852
Phone (530) 788-6631

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.55 of 100Reported as individual
Quality
79.43
Improvement activities
40
Cost
75.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hospitalists of North Texas, PLLC Internal Medicine PastSince Aug 2, 2020 Accepting new patients

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.

Hospital & facility affiliations 5

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1629365671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOUND CARE CENTER",
            "address_2": "7 MEDICAL PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347829",
            "telephone_number": "469-453-8118",
            "fax_number": "972-888-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHHDIYA",
        "first_name": "SURESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P7291",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P7291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.