Individual provider Active NPI

Amit Bajaj, MD

  • Pediatrics Physician
  • Irving, TX
National Provider Identifier
1639308257
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S3627 Issued in TX
Practice address
7429 Las Colinas Blvd Ste 101
Irving, TX 75063-7573
Phone
(469) 442-0202
NPI assigned
Jul 2, 2009
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S3627 TX Primary

Addresses

Primary practice location

7429 Las Colinas Blvd Ste 101
Irving, TX 75063-7573

Mailing address

7429 Las Colinas Blvd Ste 101
Irving, TX 75063-7573
Phone (469) 442-0202

Other identifiers 1

IdentifierTypeStateIssuer
406690401MedicaidTX

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
I20191219000858 TX Practitioner - Pediatric Medicine 4183846090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15972NVMDPharmacist
S3627TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Priyanka Agarwal MD PLLC Current Accepting new patients
Texas Primary and Pediatric Care PLLC Pediatrics CurrentSince May 15, 2020 Accepting new patients

Locations

7429 Las Colinas Blvd
Ste 101
Irving, TX 75063
Phone (469) 442-0202

Interoperability endpoints

  • Direct secure messaging: amit.bajaj@tppc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1639308257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 LAS COLINAS BLVD STE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637573",
            "telephone_number": "469-442-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7429 LAS COLINAS BLVD STE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637573",
            "telephone_number": "469-442-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S3627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406690401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.