Active NPI
Keshav Poddar, MD
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S5468
- Practice address
- 1441 N. Beckley Ave.
Attn DMPN
Dallas, TX 75203-4228 - Phone
- (214) 947-4498
- Fax
- (214) 947-2390
- NPI assigned
- Apr 5, 2016
- Last updated
- Feb 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | S5468 | TX | Primary |
Addresses
Primary practice location
1441 N. Beckley Ave.
Attn DMPN
Dallas, TX 75203-4228
Mailing address
1441 N. Beckley Ave.
Attn DMPN
Dallas, TX 75203-4228
Phone (214) 947-4498
Other practice location 1
122 W. Colorado Blvd.
Hospitalist
Dallas, TX 75208
Phone (214) 947-6700
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
- Internal Medicine
- Education
- University of Texas Medical School at Houston, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-2385
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5468 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Single Specialty | Current | Accepting new patients |
| Dallas Hospital Consultants PA | Single Specialty | Current | Accepting new patients |
| Physician Associates of Southwest Dallas | Single Specialty | Current | Accepting new patients |
| Medhealth | Single Specialty | Current | Accepting new patients |
| Methodist Hospitals of Dallas | Past | Accepting new patients |
Locations
122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
2918 Duncanville Rd
Dallas, TX 75211
Phone (214) 467-7090
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
Interoperability endpoints
- kpoddar88296@dm.mhd.com
Organizations & group practices 5
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.
-
dba Methodist Medical Group
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
Single Specialty
-
- Infectious Disease Physician
- Dallas, TX
- NPI 1669997573
Single Specialty
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Single Specialty
-
dba Methodist Medical Group
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
Single Specialty
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1952765091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N. BECKLEY AVE.",
"address_2": "ATTN DMPN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752034228",
"telephone_number": "214-947-4498",
"fax_number": "214-947-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N. BECKLEY AVE.",
"address_2": "ATTN DMPN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752034228",
"telephone_number": "214-947-4498",
"fax_number": "214-947-2390"
}
],
"practiceLocations": [
{
"address_1": "122 W. Colorado Blvd.",
"address_2": "Hospitalist",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75208",
"country_code": "US",
"telephone_number": "214-947-6700",
"fax_number": "214-947-6701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PODDAR",
"first_name": "KESHAV",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S5468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Kimberly R. Poarch, PA-C
- Kojo Pobee, MD
- Christine Poblete
- Glyness Marie Poblete, FNP, ACNP
- Mark M. Podberezin, M.D.
- Varsha Podduturi, M.D.
- David Alexander Podeszwa, MD
- Eitan Podgaetz Gliksberg, MD
- Podiatric Medical Partners of Texas, PA (Jonathan M Kletz D P M PA)
- Podiatric Medical Partners of Texas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.