Individual provider Active NPI

Jayasree Grandhi, MD

  • Nephrology Physician
  • Irving, TX
National Provider Identifier
1912933177
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P5634 Issued in TX
Practice address
2005 W Park Dr Ste 200
Irving, TX 75061-2034
Phone
(214) 358-2300
Fax
(214) 579-6984
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X P5634 TX Primary

Addresses

Primary practice location

2005 W Park Dr Ste 200
Irving, TX 75061-2034

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other practice location 1

701 Tuscan Dr Ste 220
Irving, TX 75039-3838
Phone (214) 358-2300 ext. 6225

Other practice location 2

6161 N State Highway 161 Ste 324
Irving, TX 75038-2220
Phone (214) 358-2300

Other identifiers 1

IdentifierTypeStateIssuer
P5634OtherTXLICENSE

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
I20130712000387 TX Practitioner - Nephrology 9537162128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

2005 W Park Dr
Suite 200
Irving, TX 75061-2034
Phone (214) 358-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5634TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Internal Medicine CurrentSince Jul 7, 2018 Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Jul 13, 2020 Accepting new patients
Dallas Nephrology Associates CurrentSince Jul 13, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 7, 2018 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Pulsar Medical Group PC Internal Medicine Past Accepting new patients
Macomb Internists PC Internal Medicine Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

2020 W State Highway 114
Ste 190
Grapevine, TX 76051
Phone 2143582300 ext. 6225

6750 N MacArthur Blvd
Ste 210
Irving, TX 75039
Phone (972) 401-2335

2021 N MacArthur Blvd
Ste 210
Irving, TX 75061
Phone (469) 800-1000

6161 N State Highway 161
Ste 324
Irving, TX 75038
Phone (214) 579-6800

701 Tuscan Dr
Ste 220
Irving, TX 75039
Phone (972) 432-9191

2005 W Park Dr
Ste 200
Irving, TX 75061
Phone (214) 366-6225

4510 Medical Center Dr
Ste 305B
McKinney, TX 75069

Interoperability endpoints

  • Direct secure messaging: jgrandhi52285@direct.acumenmd.com
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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 6

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1912933177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W PARK DR STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612034",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Tuscan Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750393838",
            "country_code": "US",
            "telephone_number": "214-358-2300 x6225",
            "fax_number": "214-579-6984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 N State Highway 161 Ste 324",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382220",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDHI",
        "first_name": "JAYASREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P5634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P5634",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.