Individual provider Active NPI

Anbu V. Pandian, MD

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1700030301
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0649 Issued in TX
Practice address
1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone
(972) 698-2371
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 061930 GA
Hospitalist Physician 208M00000X 061930 GA
Internal Medicine Physician 207R00000X P0649 TX Primary

Addresses

Primary practice location

1011 N Galloway Ave
Mesquite, TX 75149-2433

Mailing address

PO Box 847408
Dallas, TX 75284-7408

Other names 1

  • Abbu Valavan Amalraj Other name

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
I20111005000250 TX Practitioner - Internal Medicine 0042372526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Integrity MD PLLCGroup PAC ID 9436500048, 16 clinicians

Practice addresses (Care Compare)

1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (214) 660-2518

Hospital & facility affiliations

  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity MD PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Star Ed PLLC CurrentSince Jun 14, 2020 Accepting new patients
Prime Healthcare Services Mesquite LLC Past Accepting new patients

Locations

9 Medical Pkwy
Dallas, TX 75234
Phone (972) 243-5558

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

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": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1700030301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847408",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492433",
            "telephone_number": "972-698-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDIAN",
        "first_name": "ANBU",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "061930",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "061930",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBU",
            "last_name": "AMALRAJ",
            "middle_name": "VALAVAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.