Individual provider Active NPI

Roma Vaswani

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1649812272
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3417 Gaston Ave Ste 1000
Dallas, TX 75246-2037
Phone
(469) 800-9000
NPI assigned
Oct 15, 2019
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Family Medicine Physician 207Q00000X 9978 GA

Addresses

Primary practice location

3417 Gaston Ave Ste 1000
Dallas, TX 75246-2037

Mailing address

619 Olympic
Richardson, TX 75081-5159

Other practice location 1

619 Olympic
Richardson, TX 75081-5159
Phone (972) 375-2739

Other practice location 2

3660 Market St
Clarkston, GA 30021-1246
Phone (470) 355-7896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211230000620 GA Practitioner - Physician Assistant 1951792936
I20230629000860 TX Practitioner - Physician Assistant 1951792936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Jun 5, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 5, 2023 Accepting new patients
Lifeline Medical Center, LLC CurrentSince Sep 23, 2021 Accepting new patients

Locations

3660 Market St
Clarkston, GA 30021
Phone (404) 298-9005

3330 Peachtree Corners Cir
Peachtree Corners, GA 30092
Phone (678) 580-0950

3330 Peachtree Corners Cir
Ste H
Peachtree Corners, GA 30092
Phone (678) 580-0950

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

3417 Gaston Ave
Ste 1000
Dallas, TX 75246
Phone (469) 800-9000

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

Interoperability endpoints

  • Direct secure messaging: rvaswani1189627@direct.sw.org

Organizations & group practices 4

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 2

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1649812272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 OLYMPIC",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 GASTON AVE STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462037",
            "telephone_number": "469-800-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Olympic",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750815159",
            "country_code": "US",
            "telephone_number": "972-375-2739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 Market St",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "GA",
            "postal_code": "300211246",
            "country_code": "US",
            "telephone_number": "470-355-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASWANI",
        "first_name": "ROMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "9978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.