Individual provider Active NPI

Keshav Poddar, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1952765091
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S5468 Issued in TX
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923001056 TX Practitioner - Internal Medicine 7810283017 Reassigns benefits to 3 organizations

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
MedhealthGroup PAC ID 9931001567, 435 clinicians

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

LicenseStateTypeSpecialty
S5468TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Single Specialty CurrentSince Oct 1, 2020 Accepting new patients
Dallas Hospital Consultants PA Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Physician Associates of Southwest Dallas Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Medhealth Single Specialty CurrentSince Oct 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.