Active NPI
Ancy Kurian Chempola, PA-C
- Physician Assistant
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19207
- Practice address
- 3801 William D Tate Ave Ste 840
Grapevine, TX 76051-8759 - Phone
- (817) 310-3772
- Fax
- (817) 310-3950
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022898 | NY | |
| Physician Assistant | 363A00000X | PA19207 | TX | Primary |
Addresses
Primary practice location
3801 William D Tate Ave Ste 840
Grapevine, TX 76051-8759
Mailing address
2040 E State Highway 121 Apt 5014
Ancychempola@Texashealth.Org
Lewisville, TX 75056
Phone (646) 761-4704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708
3801 William D Tate Ave
Suite 840
Grapevine, TX 76051-8759
Phone (817) 310-3772
8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022898 | NY | MD | Pharmacist |
| PA19207 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
3801 William D Tate Ave
Ste 840
Grapevine, TX 76051
Phone (817) 310-3772
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- achempola2658722@direct.texashealth.org
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Internal Medicine Physician
- New York, NY
- NPI 1295263796
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
Hospital & facility affiliations 1
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": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1629549498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 E STATE HIGHWAY 121 APT 5014",
"address_2": "ANCYCHEMPOLA@TEXASHEALTH.ORG",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75056",
"telephone_number": "646-761-4704",
"fax_number": "817-310-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 840",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518759",
"telephone_number": "817-310-3772",
"fax_number": "817-310-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEMPOLA",
"first_name": "ANCY",
"middle_name": "KURIAN",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2025-08-05",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "022898",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA19207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.