Individual provider Active NPI

Anjana S. Jagalur, M.D.

  • Nephrology Physician
  • Lewisville, TX
National Provider Identifier
1720122096
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N8933 Issued in TX
Practice address
1600 Waters Ridge Dr Ste a
Lewisville, TX 75057-6039
Phone
(940) 320-1708
Fax
(972) 436-9273
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X N8933 TX Primary

Addresses

Primary practice location

1600 Waters Ridge Dr Ste a
Lewisville, TX 75057-6039

Mailing address

1600 Waters Ridge Dr Ste a
Lewisville, TX 75057-6039
Phone (940) 320-1708

Other practice location 1

4333 N Josey LN
Ste 202
Carrollton, TX 75010
Phone (469) 557-9627

Other identifiers 1

IdentifierTypeStateIssuer
342827801MedicaidTX

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
I20140827000637 TX Practitioner - Nephrology 5496832537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Texas Kidney Disease AssociatesGroup PAC ID 0941296107, 26 clinicians

Practice addresses (Care Compare)

1600 Waters Ridge Dr
Suite a
Lewisville, TX 75057-6039

1600 Waters Ridge Dr a
Ntkda Lewisville
Lewisville, TX 75057-6039
Phone (972) 219-0558

3315 Colorado Blvd
Suite 102
Denton, TX 76210-6885
Phone (940) 320-1708

Hospital & facility affiliations

  • Renal Center of Lewisville Dialysis facility, Lewisville, TX, CCN 452648
  • DaVita Renal Center of Carrollton Dialysis facility, Carrollton, TX, CCN 452887
  • Dialyze Direct Sugarland Dialysis facility, Sugar Land, TX, CCN 672800
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
78.39
Promoting interoperability
100
Improvement activities
40
Cost
77.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Kidney Disease Associates Nephrology CurrentSince Mar 25, 2018 Accepting new patients
North Texas Kidney Disease Associates Nephrology CurrentSince Mar 25, 2018 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

4333 N Josey Ln
Ste 205
Carrollton, TX 75010
Phone (214) 663-1397

4333 N Josey Ln
Ste 202
Carrollton, TX 75010
Phone (469) 557-9627

3315 Colorado Blvd
Ste 102
Denton, TX 76210
Phone (940) 320-1708

1600 Waters Ridge Dr
Ste A
Lewisville, TX 75057
Phone (940) 320-1708

1600 Waters Ridge Dr
Ste 210
Lewisville, TX 75057

6331 Boulevard 26
Ste 220
North Richland Hills, TX 76180
Phone (817) 628-0284

Interoperability endpoints

  • Direct secure messaging: dmcajagal@yourcarecommunity.org
  • Direct secure messaging: anjana.jagalur.1@23918.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1720122096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "940-320-1708",
            "fax_number": "972-436-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "940-320-1708",
            "fax_number": "972-436-9273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 N JOSEY LN",
            "address_2": "STE 202",
            "address_purpose": "LOCATION",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "country_code": "US",
            "telephone_number": "469-557-9627",
            "fax_number": "214-731-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGALUR",
        "first_name": "ANJANA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N8933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342827801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.