Individual provider Active NPI

Arun Krishna Nagaraj, MD

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1861786576
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
R6055 Issued in TX
Practice address
6301 Gaston Ave Ste 100W
Dallas, TX 75214
Phone
(214) 827-3610
Fax
(214) 821-4017
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35126162 OH
Neurology Physician 2084N0400X 48242 KY
Neurology Physician 2084N0400X R6055 TX Primary

Addresses

Primary practice location

6301 Gaston Ave Ste 100W
Dallas, TX 75214

Mailing address

6301 Gaston Ave Ste 100W
Dallas, TX 75214-6273
Phone (214) 827-3610

Other practice location 1

4805 Montgomery Rd
Suite 410
Cincinnati, OH 45212-2198
Phone (513) 961-5558

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
I20180720001119 TX Practitioner - Neurology 6305159575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Cincinnati College of Medicine and Surgery, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Neurology PAGroup PAC ID 2860476397, 13 clinicians

Practice addresses (Care Compare)

6080 N Central Expy
Suite 100
Dallas, TX 75206-5202
Phone (214) 827-3610

Hospital & facility affiliations

  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48242KYMDNeurology Physician
35126162OHMDNeurology Physician
R6055TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Neurology, P.a. Neurology CurrentSince Jul 23, 2018 Accepting new patients
Diagnostic Imaging Center at Texas Neurology CurrentSince Jul 23, 2018 Accepting new patients
Texas Neurology, P.a. Current Accepting new patients
Riverhills Healthcare, Inc. Neurology Past Accepting new patients

Locations

6080 N Central Expy
Ste 100
Dallas, TX 75206
Phone (214) 827-3610

6301 Gaston Ave
Ste 100W
Dallas, TX 75214
Phone (214) 827-3610

6301 Gaston Ave
Ste 400W
Dallas, TX 75214
Phone (214) 827-3610

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAABA

Organizations & group practices 4

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 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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1861786576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 100W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146273",
            "telephone_number": "214-827-3610",
            "fax_number": "214-821-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 100W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75214",
            "telephone_number": "214-827-3610",
            "fax_number": "214-821-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 Montgomery Rd",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452122198",
            "country_code": "US",
            "telephone_number": "513-961-5558",
            "fax_number": "513-961-1912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGARAJ",
        "first_name": "ARUN",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35126162",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "48242",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.