Individual provider Active NPI

Rajani Lata Shrestha, DO

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1962021220
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U0658 Issued in TX
Practice address
3107 W Camp Wisdom Rd Ste 170
Dallas, TX 75237-2638
Phone
(972) 942-7700
Fax
(972) 941-7701
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U0658 TX Primary

Addresses

Primary practice location

3107 W Camp Wisdom Rd Ste 170
Dallas, TX 75237-2638

Mailing address

3107 W Camp Wisdom Rd Ste 170
Dallas, TX 75237-2638
Phone (972) 942-7700

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
I20231114002253 TX Practitioner - Family Practice 1052742731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

3107 W Camp Wisdom Rd
Suite 170 Wellmed at Redbird Square
Dallas, TX 75237-2643
Phone (972) 942-7700

526 E Pleasant Run
Wellmed at Heath Creek
Desoto, TX 75115-4002
Phone (972) 223-4420

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Oct 2, 2023 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Oct 2, 2023 Accepting new patients

Locations

3107 W Camp Wisdom Rd
Ste 170
Dallas, TX 75237
Phone (972) 942-7700

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: rajani.shrestha@wellmed.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1962021220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 W CAMP WISDOM RD STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372638",
            "telephone_number": "972-942-7700",
            "fax_number": "972-941-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 W CAMP WISDOM RD STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372638",
            "telephone_number": "972-942-7700",
            "fax_number": "972-941-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "RAJANI",
        "middle_name": "LATA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U0658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.