Individual provider Active NPI

Vijaya M Dasari, MD

  • Gastroenterology Physician
  • Denton, TX
National Provider Identifier
1881860484
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
N1604 Issued in TX
Practice address
2701 Shoreline Dr
101
Denton, TX 76210
Phone
(940) 898-7488
Fax
(940) 247-3006
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X N1604 TX Primary

Addresses

Primary practice location

2701 Shoreline Dr
101
Denton, TX 76210

Mailing address

3304 Colorado Blvd Ste 205
Denton, TX 76210-6877
Phone (940) 898-7488

Other practice location 1

3304 Colorado Blvd Ste 205
Denton, TX 76210-6877
Phone (940) 898-7488

Other identifiers 1

IdentifierTypeStateIssuer
320029703MedicaidTX

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
I20130701000035 TX Practitioner - Gastroenterology 1355403445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2701 Shoreline Dr
Suite 101
Denton, TX 76210-0175
Phone (940) 898-7488

560 W Main St
Lewisville, TX 75057-3629
Phone (940) 898-7488

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Medical City Denton Hospital, Denton, TX, CCN 450634
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy101
Upper gastrointestinal (GI) endoscopy for acid reflux185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N1604TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Gastroenterology, PA Gastroenterology CurrentSince Nov 22, 2014 Accepting new patients
North Texas Gastroenterology Consultants PA Gastroenterology Past Accepting new patients
Siva P Sontineni,MD,PA. PastSince Aug 4, 2015 Accepting new patients

Locations

2701 Shoreline Dr
Ste 101
Denton, TX 76210
Phone (469) 645-1155

3304 Colorado Blvd
Ste 205
Denton, TX 76210
Phone (940) 898-7488

560 W Main St
Ste 106
Lewisville, TX 75057
Phone (972) 420-8800

Interoperability endpoints

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

Organizations & group practices 3

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 4

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1881860484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 COLORADO BLVD STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106877",
            "telephone_number": "940-898-7488",
            "fax_number": "940-243-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SHORELINE DR",
            "address_2": "101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "940-898-7488",
            "fax_number": "940-247-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3304 Colorado Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106877",
            "country_code": "US",
            "telephone_number": "940-898-7488",
            "fax_number": "940-243-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASARI",
        "first_name": "VIJAYA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N1604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320029703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.