Individual provider Active NPI

Pramesh Chandrakant Dave, M.D.

  • Internal Medicine Physician
  • Mansfield, TX
National Provider Identifier
1700833001
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
KOO14 Issued in TX
Practice address
1290 Highway 157 N
Mansfield, TX 76063-1538
Phone
(817) 473-0277
Fax
(817) 473-0911
NPI assigned
May 30, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X KOO14 TX Primary

Addresses

Primary practice location

1290 Highway 157 N
Mansfield, TX 76063-1538

Mailing address

2127 Hogan Dr
Irving, TX 75038-5938
Phone (817) 690-3964

Other identifiers 2

IdentifierTypeStateIssuer
081248901MedicaidTX
131240709MedicaidTX

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
I20031231000388 TX Practitioner - Internal Medicine 4385543131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1540 W Interstate 20
Arlington, TX 76017-5838

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
KOO14TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Mar 1, 2026 Accepting new patients
Dr Pramesh Dave MD PA PLLC Internal Medicine Current Accepting new patients
Fort Worth Family Practice Associated Current Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Jan 18, 2022 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jan 18, 2022 Accepting new patients
Deuteronomy Past Accepting new patients
Priya's Innovation, LLC PastSince Nov 1, 2011 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine Past Accepting new patients

Locations

1540 W Interstate 20
Arlington, TX 76017
Phone (817) 472-6555

2608 Matlock Rd
Arlington, TX 76015
Phone (817) 277-7175

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1615 Hospital Pkwy
Ste 204
Bedford, TX 76022
Phone (817) 684-5002

8030 Camp Bowie West Blvd
Ft Worth, TX 76116
Phone (817) 244-4620

1290 Highway 157 N
Mansfield, TX 76063
Phone (817) 473-0277

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pramesh.dave@wellmed.eclinicaldirectplus.com

Organizations & group practices 9

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 1

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1700833001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 HOGAN DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385938",
            "telephone_number": "817-690-3964",
            "fax_number": "817-507-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631538",
            "telephone_number": "817-473-0277",
            "fax_number": "817-473-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "PRAMESH",
        "middle_name": "CHANDRAKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "KOO14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081248901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131240709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.