Individual provider Active NPI

Chrisette Dharmagunaratne, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1790763654
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2891 Issued in TX
Practice address
5959 Harry Hines Blvd
Suite 200
Dallas, TX 75235-6234
Phone
(214) 393-2940
Fax
(214) 393-2945
NPI assigned
Jan 2, 2006
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2891 TX Primary

Addresses

Primary practice location

5959 Harry Hines Blvd
Suite 200
Dallas, TX 75235-6234

Mailing address

8877 Harry Hines Blvd
Suite 100
Dallas, TX 75235-1715
Phone (214) 393-2940

Other identifiers 2

IdentifierTypeStateIssuer
0084EGOtherTXBCBS
5201761OtherTXAETNA

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
I20090309000586 TX Practitioner - Family PracticePractitioner - Internal Medicine 2163588583 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dharma MD PAGroup PAC ID 4183089154, 6 clinicians

Practice addresses (Care Compare)

8877 Harry Hines Blvd
Suite 100
Dallas, TX 75235-1715
Phone (214) 393-2940

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2891TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dharma MD PA Family Medicine CurrentSince May 1, 2023 Accepting new patients
Sapna Jaiswal MD PA Family Medicine Past Accepting new patients

Locations

8877 Harry Hines Blvd
Ste 100
Dallas, TX 75235
Phone (214) 393-2940

Interoperability endpoints

  • Direct secure messaging: chrisettedharma@sfm.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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 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": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1790763654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 HARRY HINES BLVD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351715",
            "telephone_number": "214-393-2940",
            "fax_number": "214-393-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-393-2940",
            "fax_number": "214-393-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARMAGUNARATNE",
        "first_name": "CHRISETTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-02",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0084EG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5201761",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.