Organization Active NPI

DFW Medical Associates, P.a.

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1871536094
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DFW MEDICAL ASSOCIATES, P.A.
Practice address
8501 N Macarthur Blvd # 1148
Irving, TX 75063-4100
Phone
(972) 385-9898
Fax
(888) 770-6360
NPI assigned
Jun 14, 2006
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Anil I Desai, MDNPI 1508809757
Title
Phyiscian/Owner
Phone
(972) 385-9898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

8501 N Macarthur Blvd # 1148
Irving, TX 75063-4100

Mailing address

PO Box 631148
Irving, TX 75063-0013
Phone (972) 385-9898

Other identifiers 3

IdentifierTypeStateIssuer
DG4200OtherMEDICARE RAILROAD
0053KUOtherTXBCBS
162945301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513000380 TX Part B Supplier - Clinic/Group Practice 7911997960 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX; Arlington, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1871536094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631148",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630013",
            "telephone_number": "972-385-9898",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 N MACARTHUR BLVD # 1148",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634100",
            "telephone_number": "972-385-9898",
            "fax_number": "888-770-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYISCIAN/OWNER",
        "authorized_official_telephone_number": "972-385-9898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG4200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0053KU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162945301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.