Individual provider Active NPI

Venkata Anisha Guda, MD

  • Dermatology Physician
  • Denton, TX
National Provider Identifier
1629657093
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
V7897 Issued in TX
Practice address
3317 Unicorn Lake Blvd, BLDG 4, Ste 142
Denton, TX 76210-0115
Phone
(940) 222-3724
NPI assigned
Apr 5, 2021
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X V7897 TX Primary

Addresses

Primary practice location

3317 Unicorn Lake Blvd, BLDG 4, Ste 142
Denton, TX 76210-0115

Mailing address

7300 Ranch Road 2222, BLDG 1, Ste 200
Austin, TX 78730-3255
Phone (512) 628-0465

Other practice location 1

9191 Kyser Way Ste B
Frisco, TX 75033-1902
Phone (972) 712-3131

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
I20250604004456 TX Practitioner - Dermatology 0941719413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

3317 Unicorn Lake Blvd
Suite 142
Denton, TX 76210-0115
Phone (940) 222-3724

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions90
Removal or shaving of skin growth1-10
Skin biopsy41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince Jun 2, 2025 Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

3317 Unicorn Lake Blvd
Ste 142
Denton, TX 76210
Phone (940) 222-3724

9191 Kyser Way
Bldg 3
Frisco, TX 75033
Phone (972) 712-3131

Interoperability endpoints

  • Direct secure messaging: anisha.guda@epiphanyderm.emadirect.md

Organizations & group practices 1

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1629657093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255",
            "telephone_number": "512-628-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 UNICORN LAKE BLVD, BLDG 4, STE 142",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100115",
            "telephone_number": "940-222-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9191 Kyser Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750331902",
            "country_code": "US",
            "telephone_number": "972-712-3131",
            "fax_number": "972-712-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDA",
        "first_name": "VENKATA",
        "middle_name": "ANISHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "V7897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.