NPIMap

Individual provider Active NPI

Hareshkumar D Boghara, M.D.

  • Family Medicine Physician
  • Desoto, TX
National Provider Identifier
1962660589
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4289 Issued in TX
Practice address
935 York Dr
Desoto, TX 75115-2043
Phone
(972) 777-6956
Fax
(972) 777-6922
NPI assigned
May 30, 2008
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 P4289 TX Primary

Addresses

Primary practice location

935 York Dr
Desoto, TX 75115-2043

Mailing address

951 York Dr
Desoto, TX 75115-2052
Phone (972) 777-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000880 TX Practitioner - Family Practice 2961558929 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jun 1, 2013 Accepting new patients
Apogee Medical Group Texas PA CurrentSince Sep 6, 2012 Accepting new patients
Raghav LLC Current Accepting new patients
Southern Plains Medical Center SPMC-ASC CurrentSince May 2, 2022 Accepting new patients
Elite Interns PLLC Past Accepting new patients
Adelitas Medical NWH Past Accepting new patients
Arete Medical Group PastSince May 11, 2017 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
East Texas Medical Center-Clarksville Past Accepting new patients
Carefirst Night Clinic Family Medicine PastSince Sep 27, 2020 Accepting new patients
Linville Emergency Physicians PLLC Past Accepting new patients

Locations

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1962660589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152052",
            "telephone_number": "972-777-6956",
            "fax_number": "972-777-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-777-6956",
            "fax_number": "972-777-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHARA",
        "first_name": "HARESHKUMAR",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.