Nishendu M. Vasavada, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

F2490 Issued in TX

Practice address

4100 Fairway Dr.
Suite 200
Carrollton, TX 75010

Phone

(972) 221-1741

Fax

(972) 939-2822

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Psychiatry

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

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

Practice roles

Locations

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.

• Beacon Behavioral of Texas PA

  • Psychiatry Physician
  • Allen, TX
  • NPI 1053545335
  Medicare reassignment Care Compare group
• Nishendu M. Vasavada, M.D., P.a.

  • Psychiatry Physician
  • Lewisville, TX
  • NPI 1700901022
  Medicare reassignment NPD
• Origins Spi, LLC

  • Substance Abuse Rehabilitation Facility
  • Frisco, TX
  • NPI 1962152405
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1952473589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR.",
            "address_2": "SUITE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-221-1741",
            "fax_number": "972-939-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR.",
            "address_2": "SUITE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-221-1741",
            "fax_number": "972-939-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASAVADA",
        "first_name": "NISHENDU",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F2490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034857502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034857501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200105580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori M Vann, LPC-S
• Jenny Elizabeth Varghese
• Merlyn Varghese
• Jason Koipurathu Varughese, PT, DPT
• Joyes Abraham Varughese, O.D.
• Satish V Vayuvegula, M.D.
• Guillermo David Vazquez
• Reshma Y Veerji, DDS
• Mikhal Sura Vegh, OTD
• Marianicolle Velarde

• Psychiatry Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.

Verify at the official NPI Registry.