Individual provider Active NPI

Mandip Kaur

  • Physician Assistant
  • Mansfield, TX
National Provider Identifier
1679112668
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16815 Issued in TX
Practice address
2800 E Broad St Ste 204
Mansfield, TX 76063-6411
Phone
(682) 900-4174
Fax
(682) 900-4175
NPI assigned
Dec 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA16815 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 204
Mansfield, TX 76063-6411

Mailing address

2800 E Broad St Ste 500
Mansfield, TX 76063-6416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20211112002365 NY Practitioner - Physician Assistant 9739578758 Reassigns benefits to 1 organization
I20231122000531 TX Practitioner - Physician Assistant 9739578758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Critical Care ProfessionalsGroup PAC ID 2062884471, 21 clinicians

Practice addresses (Care Compare)

2800 E Broad St
Suite 204
Mansfield, TX 76063-6411
Phone (682) 900-4174

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Sleep Diagnostics and Therapeutics LLC CurrentSince Dec 17, 2023 Accepting new patients
Pulmonary Critical Care Professionals Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

9330 Poppy Dr
Ste 300
Dallas, TX 75218
Phone (214) 324-2471

2800 E Broad St
Ste 204
Mansfield, TX 76063
Phone (682) 900-4174

2800 E Broad St
Ste 500
Mansfield, TX 76063
Phone (682) 900-4174

141 Rvg Pkwy
Ste 101
Waxahachie, TX 75165
Phone (214) 550-6411

Interoperability endpoints

  • Direct secure messaging: mkaur1155186@nychhc.direct-ci.com

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 and National Provider Directory roles.

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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1679112668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 500",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 204",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636411",
            "telephone_number": "682-900-4174",
            "fax_number": "682-900-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANDIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.