Individual provider Active NPI

Dev Jaiswal, D.O.

  • Interventional Cardiology Physician
  • Denison, TX
National Provider Identifier
1831639152
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
V0768 Issued in TX
Practice address
5026 Pool Rd
Denison, TX 75020-4595
Phone
(903) 465-3624
NPI assigned
Mar 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X V0768 TX Primary

Addresses

Primary practice location

5026 Pool Rd
Denison, TX 75020-4595

Mailing address

3714 Lionel LN
Durant, OK 74701-5073
Phone (580) 775-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240625002309 TX Practitioner - Interventional Cardiology 4789127259 Reassigns benefits to 1 organization
I20240807001065 OK Practitioner - Interventional Cardiology 4789127259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texomacare Specialty PhysiciansGroup PAC ID 4880858364, 37 clinicians

Practice addresses (Care Compare)

1727 Chuckwa Dr
Suite 400
Durant, OK 74701-2151
Phone (580) 924-7096

5026 Pool Rd
Denison, TX 75020-4595
Phone (903) 465-3624

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014
  • TMC- Bonham Hospital Hospital, Bonham, TX, CCN 451370
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6427OKMDMental Health Counselor
V0768TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Specialty Physicians Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients
Texomacare Single Specialty Past Accepting new patients

Locations

1727 Chuckwa Dr
Ste 400
Durant, OK 74701
Phone (580) 924-7096

5012 S US Highway 75
Ste 275
Denison, TX 75020
Phone (903) 416-6325

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

5026 Pool Rd
Denison, TX 75020
Phone (903) 465-3624

Interoperability endpoints

  • Direct secure messaging: dev.jaiswal@tcsp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA

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 4

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1831639152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 LIONEL LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747015073",
            "telephone_number": "580-775-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 POOL RD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204595",
            "telephone_number": "903-465-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISWAL",
        "first_name": "DEV",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "V0768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.