Individual provider Active NPI

Nanda Bysani, MD

  • Internal Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1801852025
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N7783 Issued in TX
Practice address
710 E Pioneer Pkwy
Grand Prairie, TX 75051-4958
Phone
(972) 262-8211
Fax
(972) 262-8311
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N7783 TX
Internal Medicine Physician 207R00000X N7783 TX Primary

Addresses

Primary practice location

710 E Pioneer Pkwy
Grand Prairie, TX 75051-4958

Mailing address

710 E Pioneer Pkwy
Grand Prairie, TX 75051-4958
Phone (972) 262-8211

Other identifiers 3

IdentifierTypeStateIssuer
220142803MedicaidTX
220142802MedicaidTX
220142801MedicaidTX

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
I20110328000865 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2961391206 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine Current Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jan 1, 2011 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince May 24, 2021 Accepting new patients
Wellmed Medical Group, PA Internal Medicine Current Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

1601 W Hebron Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 426-8675

710 E Pioneer Pkwy
Grand Prairie, TX 75051
Phone (972) 262-8211

1801 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (972) 262-5272

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1801852025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E PIONEER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514958",
            "telephone_number": "972-262-8211",
            "fax_number": "972-262-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E PIONEER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514958",
            "telephone_number": "972-262-8211",
            "fax_number": "972-262-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYSANI",
        "first_name": "NANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N7783",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220142803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220142802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220142801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.