Individual provider Active NPI

Nina Nandy, M.D.

  • Gastroenterology Physician
  • Cedar Park, TX
National Provider Identifier
1992935001
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036164550 Issued in IL
Practice address
1401 Medical Pkwy Ste 211
Cedar Park, TX 78613-5013
Phone
(512) 901-4083
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0074739 CO
Obesity Medicine (Family Medicine) Physician 207QB0002X 036164550 IL
Internal Medicine Physician 207R00000X 036164550 IL
Gastroenterology Physician 207RG0100X DR.0074739 CO
Gastroenterology Physician 207RG0100X 036.164550 IL
Gastroenterology Physician 207RG0100X T2020 TX
Gastroenterology Physician 207RG0100X MD2017-0751 NM
Gastroenterology Physician 207RG0100X 036164550 IL Primary

Addresses

Primary practice location

1401 Medical Pkwy Ste 211
Cedar Park, TX 78613-5013

Mailing address

1401 Medical Pkwy Ste 211
Cedar Park, TX 78613-5013

Other practice location 1

1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IL, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171220002643 NM Practitioner - GastroenterologyPractitioner - Internal Medicine 6507085206 Reassigns benefits to 3 organizations
I20240326003514 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 6507085206 Reassigns benefits to 2 organizations
I20250217002984 CO Practitioner - GastroenterologyPractitioner - Internal Medicine 6507085206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2 Saint Anthonys Way
Alton, IL 62002-4569

2200 Central Ave
Alton, IL 62002-4569
Phone (618) 433-7600

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

3917 W Rd
Suite 250
Los Alamos, NM 87544-5302
Phone (505) 661-3030

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.164550ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Mar 26, 2024 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince May 15, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 1, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 26, 2024 Accepting new patients
Los Alamos Physician Practices LLC Internal Medicine CurrentSince Feb 2, 2026 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Feb 2, 2026 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Otero County Hospital Association CurrentSince Jun 27, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Jun 27, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1010 Three Springs Blvd
Ste 270
Durango, CO 81301
Phone (970) 764-3800

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4309 W Medical Center Dr
Ste B301
McHenry, IL 60050
Phone (847) 535-6083

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

1100 Lead Ave SE
Albuquerque, NM 87106
Phone (505) 224-7000

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

3917 West Rd
Ste 250
Los Alamos, NM 87544
Phone (505) 661-4147

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

3715 Southern Blvd SE
Rio Rancho, NM 87124
Phone (505) 224-7000

Interoperability endpoints

  • Direct secure messaging: nina.nandy.1@6965.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1992935001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 211",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 211",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135013",
            "telephone_number": "512-901-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3800",
            "fax_number": "970-764-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANDY",
        "first_name": "NINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0074739",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IL",
            "license": "036164550",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036164550",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0074739",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.164550",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "T2020",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2017-0751",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036164550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.