Active NPI
Mangesh Rajaram Pagadala, M.D.
- Transplant Hepatology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Hepatology Physician
- License
- Q6256
- Practice address
- 1411 N Beckley Ave
Pavilion III, Suite 268
Dallas, TX 75203-1259 - Phone
- (214) 947-4400
- Fax
- (214) 947-4404
- NPI assigned
- Dec 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.092082 | OH | |
| Gastroenterology Physician | 207RG0100X | Q6256 | TX | |
| Hepatology Physician | 207RI0008X | Q6256 | TX | |
| Transplant Hepatology Physician | 207RT0003X | Q6256 | TX | Primary |
Addresses
Primary practice location
1411 N Beckley Ave
Pavilion III, Suite 268
Dallas, TX 75203-1259
Mailing address
1411 N Beckley Ave
Pavilion III, Suite 268
Dallas, TX 75203-1259
Phone (214) 947-4400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1411 N Beckley Ave
Suite 268
Dallas, TX 75203-1260
Phone (214) 947-4400
Hospital & facility affiliations
- Methodist Dallas Medical Center
- Methodist Mansfield Medical Center
- Methodist Midlothian Medical Center
- Titus Regional Medical Center
- Midland Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.092082 | OH | MD | Internal Medicine Physician |
| Q6256 | TX | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Internal Medicine | Current | Accepting new patients |
| Medhealth | Current | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
1411 N Beckley Ave
Ste 268
Dallas, TX 75203
1411 N Beckley Ave
Ste 2
Dallas, TX 75203
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
5791 New Copeland Rd
Tyler, TX 75703
Phone (903) 339-3035
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- mpagadala13819@dm.mhd.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.
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
-
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
- General Acute Care Hospital
- Mt Pleasant, TX
- NPI 1174526529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1780829374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAVILION III, SUITE 268",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "214-947-4400",
"fax_number": "214-947-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAVILION III, SUITE 268",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "214-947-4400",
"fax_number": "214-947-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGADALA",
"first_name": "MANGESH",
"middle_name": "RAJARAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-10",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.092082",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "Q6256",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "TX",
"license": "Q6256",
"primary": false
},
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "TX",
"license": "Q6256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.