Individual provider Active NPI

Ayaz Ghouse Kalsekar, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1740784743
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
T3107 Issued in TX
Practice address
8200 Walnut Hill Lane
Dallas, TX 75231-4402
Phone
(214) 345-7280
Fax
(214) 245-4487
NPI assigned
Mar 23, 2018
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X T3107 TX Primary

Addresses

Primary practice location

8200 Walnut Hill Lane
Dallas, TX 75231-4402

Mailing address

PO Box 420009
Houston, TX 77242-0009
Phone (214) 345-7280

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
I20240610003131 TX Practitioner - Pathology 7911449624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8200 Walnut Hill Lane
Dallas, TX 75231-4496

8200 Walnut Hill LN
Dallas, TX 75231-4402
Phone (214) 345-6789

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Dallas Pathology Services, P.a. Anatomic Pathology & Clinical Pathology CurrentSince May 15, 2024 Accepting new patients
North Dallas Pathology Services PA Anatomic Pathology & Clinical Pathology CurrentSince May 15, 2024 Accepting new patients

Locations

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

3000 N I 35
Denton, TX 76201
Phone (940) 898-7047

Organizations & group practices 2

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 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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1740784743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420009",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772420009",
            "telephone_number": "214-345-7280",
            "fax_number": "214-345-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LANE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314402",
            "telephone_number": "214-345-7280",
            "fax_number": "214-245-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSEKAR",
        "first_name": "AYAZ",
        "middle_name": "GHOUSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "T3107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.