Active NPI
Dhananjay S Deoskar, MD, FAAP
- Pediatrics Physician
- Richmond, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P8461
- Practice address
- 7103 S Peek Rd Unit E3
Richmond, TX 77407-3498 - Phone
- (618) 549-0721
- NPI assigned
- Jun 12, 2007
- Last updated
- Apr 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P8461 | TX | Primary |
| Pediatrics Physician | 208000000X | P8461 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 10828 | ND | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036148243 | IL | |
| Pediatrics Physician | 208000000X | 57011356 | OH |
Addresses
Primary practice location
7103 S Peek Rd Unit E3
Richmond, TX 77407-3498
Mailing address
17514 Galloway Forest Dr
Richmond, TX 77407-1952
Phone (216) 466-2063
Other practice location 1
7103 S Peek Rd Unit E3
Richmond, TX 77407-3498
Phone (346) 620-6850
Other practice location 2
17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (281) 725-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8461 | IL | MD | Pediatrics Physician |
| 57011356 | OH | MD | Pediatrics Physician |
| P8461 | TX | MD | Pediatrics Physician |
| 036148243 | IL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Pediatrics PLLC | Pediatrics | Current | Accepting new patients |
| Pediatrix Medical Group of Texas Billing, Inc. | Pediatrics | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Triad of Alabama LLC | Past | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
7103 S Peek Rd
Bldg E
Richmond, TX 77407
7103 S Peek Rd
Unit 3
Richmond, TX 77407
Phone (216) 466-2063
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDAEDD/Endpoint/JDAEDD
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Richmond, TX
- NPI 1023797800
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Pediatrics
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
dba Plastic Reconstructive Surgical Services of South Texas
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
dba Magella Medical Associates
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1861696262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17514 GALLOWAY FOREST DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774071952",
"telephone_number": "216-466-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7103 S PEEK RD UNIT E3",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774073498",
"telephone_number": "618-549-0721"
}
],
"practiceLocations": [
{
"address_1": "7103 S Peek Rd Unit E3",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "774073498",
"country_code": "US",
"telephone_number": "346-620-6850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17500 W Grand Pkwy S",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774792562",
"country_code": "US",
"telephone_number": "281-725-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEOSKAR",
"first_name": "DHANANJAY",
"middle_name": "S",
"credential": "MD, FAAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P8461",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "P8461",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "ND",
"license": "10828",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036148243",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "57011356",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
- Dental Health Associates of Texas, PC (Pecan Grove Family Dental)
- Dental Health Associates of TX, P.C. (Sedona Dental Care)
- Dental Professionals of Texas, P.a. (Cook Dental)
- Dentists of Fort Bend, PC (Dentists of Fort Bend)
- Dentists of Richmond PC (Dentists of Richmond)
- Dereg Investments LLC
- Derossy Healthcare Services
- Riya Desai, MS
- Viral Desai, O.D.
- Designcentralllc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.