Individual provider Active NPI

Rahul Arvin Dewan, DO

  • General Practice Physician
  • Allen, TX
National Provider Identifier
1700407301
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
V2466 Issued in TX
Practice address
1001 Raintree Cir
Allen, TX 75013-4912
Phone
(972) 908-2000
NPI assigned
May 5, 2020
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X V2466 TX Primary

Addresses

Primary practice location

1001 Raintree Cir
Allen, TX 75013-4912

Mailing address

1001 Raintree Cir
Allen, TX 75013-4912
Phone (972) 908-2000

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
I20241016003309 TX Practitioner - General Practice 6204368186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pam Physician EnterpriseGroup PAC ID 1254628589, 34 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

401 W Campbell Rd
FL 5
Richardson, TX 75080-3416
Phone (469) 872-9200

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pam Physician Enterprise Physical Medicine & Rehabilitation CurrentSince Sep 1, 2024 Accepting new patients
Post Acute Medical at Allen LLC Past Accepting new patients

Locations

1001 Raintree Cir
Allen, TX 75013
Phone (972) 898-9557

401 W Campbell Rd
Fl 5
Richardson, TX 75080
Phone (469) 872-9173

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 293-3123

Organizations & group practices 3

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1700407301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 RAINTREE CIR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134912",
            "telephone_number": "972-908-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RAINTREE CIR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134912",
            "telephone_number": "972-908-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAN",
        "first_name": "RAHUL",
        "middle_name": "ARVIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "V2466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.