Active NPI
Vijaya M Dasari, MD
- Gastroenterology Physician
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- N1604
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320029703 | Medicaid | TX |
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
Enrollment records 1
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
- Texas Health Presbyterian Hospital Flower Mound
- Medical City Denton
- Medical City Lewisville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 101 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 185 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1604 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Gastroenterology, PA | Gastroenterology | Current | Accepting new patients |
| North Texas Gastroenterology Consultants PA | Gastroenterology | Past | Accepting new patients |
| Siva P Sontineni,MD,PA. | Past | 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
- https://fhir4.healow.com/fhir/r4/GECIBD
- 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.
-
- Gastroenterology Physician
- Denton, TX
- NPI 1396142774
-
- Gastroenterology Physician
- Denton, TX
- NPI 1568657567
-
- Interventional Cardiology Physician
- Denton, TX
- NPI 1508242058
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
- General Acute Care Hospital
- Lewisville, TX
- NPI 1255384533
-
- General Acute Care Hospital
- Flower Mound, TX
- NPI 1902047376
-
- General Acute Care Hospital
- Denton, TX
- NPI 1003883158
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.