Individual provider Active NPI

Monica Sandhu, DO

  • Allergy & Immunology Physician
  • Dallas, TX
National Provider Identifier
1629415252
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
R8266 Issued in TX
Practice address
3801 Gaston Ave Ste 318
Dallas, TX 75246-1500
Phone
(469) 372-0274
Fax
(469) 372-0276
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X R8266 TX Primary

Addresses

Primary practice location

3801 Gaston Ave Ste 318
Dallas, TX 75246-1500

Mailing address

3801 Gaston Ave Ste 318
Dallas, TX 75246-1500
Phone (469) 372-0274

Other practice location 1

301 Hospital Dr Ste 170
Corsicana, TX 75110-2471
Phone (469) 372-0274

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
I20181105000459 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5294002804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Gaston Ave
Suite 318 320
Dallas, TX 75246-1541
Phone (214) 821-3591

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Allergy and Asthma Group, PLLC Allergy & Immunology CurrentSince Sep 1, 2019 Accepting new patients
Hill Country Allergy & Asthma, PLLC Allergy & Immunology PastSince Jul 7, 2024 Accepting new patients
Magnolia Pain Associates PLLC PastSince Sep 1, 2019 Accepting new patients

Locations

301 Hospital Dr
Ste 170
Corsicana, TX 75110
Phone (214) 821-3591

3801 Gaston Ave
Ste 318
Dallas, TX 75246
Phone (214) 821-3591

3801 Gaston Ave
Ste 318320
Dallas, TX 75246
Phone (214) 821-3591

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19837/brand/1/csg/1/fhir/r4
  • Direct secure messaging: monica.sandhu.1@19837.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14384/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1629415252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461500",
            "telephone_number": "469-372-0274",
            "fax_number": "469-372-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461500",
            "telephone_number": "469-372-0274",
            "fax_number": "469-372-0276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hospital Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751102471",
            "country_code": "US",
            "telephone_number": "469-372-0274",
            "fax_number": "469-372-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "R8266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.