Individual provider Active NPI

Aasma A Khandekar, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1851591069
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
R7245 Issued in TX
Practice address
12655 N Central Expy Ste 300
Dallas, TX 75243-1789
Phone
(972) 788-1858
Fax
(972) 788-2798
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 231631 MA
Developmental - Behavioral Pediatrics Physician 2080P0006X 231631 MA
Developmental - Behavioral Pediatrics Physician 2080P0006X R7245 TX Primary

Addresses

Primary practice location

12655 N Central Expy Ste 300
Dallas, TX 75243-1789

Mailing address

12655 N Central Expy Ste 300
Dallas, TX 75243-1789
Phone (972) 788-1858

Other practice location 1

1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 629-6213

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
I20181109001937 TX Practitioner - Pediatric Medicine 5890727218 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7245TXMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics PastSince Aug 1, 2018 Accepting new patients

Locations

1500 Concord Ter
Fl 5
Sunrise, FL 33323
Phone (954) 384-0175

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

12655 N Central Expy
Ste 300
Dallas, TX 75243
Phone (972) 788-1858

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • Direct secure messaging: akhandekar1684145@direct.texashealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1851591069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 N CENTRAL EXPY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431789",
            "telephone_number": "972-788-1858",
            "fax_number": "972-788-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 N CENTRAL EXPY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431789",
            "telephone_number": "972-788-1858",
            "fax_number": "972-788-2798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021694339",
            "country_code": "US",
            "telephone_number": "617-629-6213",
            "fax_number": "617-629-6418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANDEKAR",
        "first_name": "AASMA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "231631",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MA",
            "license": "231631",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TX",
            "license": "R7245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.