Individual provider Active NPI

Archana Srivastava, MD

  • Cardiovascular Disease Physician
  • Dallas, TX
National Provider Identifier
1881636231
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L3141 Issued in TX
Practice address
4305 W Wheatland Rd Ste 130
Dallas, TX 75237-3311
Phone
(972) 296-0845
Fax
(972) 709-1790
NPI assigned
Jun 11, 2006
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L3141 TX Primary

Addresses

Primary practice location

4305 W Wheatland Rd Ste 130
Dallas, TX 75237-3311

Mailing address

PO Box 975300
Dallas, TX 75397-5300
Phone (214) 946-8856

Other identifiers 3

IdentifierTypeStateIssuer
147317501MedicaidTX
8029M2OtherTXBCBS
060067428OtherRAILROAD MDCR

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
I20100108000769 TX Practitioner - Cardiovascular Disease (Cardiology) 8527109842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4305 W Wheatland Rd
Suite 130
Dallas, TX 75237-3311
Phone (214) 669-5350

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Archana Srivastava MD PA Cardiovascular Disease CurrentSince Oct 27, 2016 Accepting new patients

Locations

4305 W Wheatland Rd
Ste 130
Dallas, TX 75237
Phone (214) 669-5350

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1881636231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753975300",
            "telephone_number": "214-946-8856",
            "fax_number": "214-946-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 W WHEATLAND RD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373311",
            "telephone_number": "972-296-0845",
            "fax_number": "972-709-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "ARCHANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L3141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147317501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8029M2",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDCR",
            "identifier": "060067428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.