Dr Soumya Adhikari, MD - Medicare Pediatrics in Dallas, TX

Dr Soumya Adhikari, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Dallas, Texas. His current practice location is 5323 Harry Hines Blvd, Room G2.236, Mc 9063, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 456-5959.

Dr Soumya Adhikari is licensed to practice in Texas (license number L9053) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457558777.

Contact Information

Dr Soumya Adhikari, MD
5323 Harry Hines Blvd, Room G2.236, Mc 9063,
Dallas, TX 75390-7201
(214) 456-5959
(214) 456-5963

Map and Direction




Physician's Profile

Full NameDr Soumya Adhikari
GenderMale
SpecialityPediatrics - Pediatric Endocrinology
Location5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457558777
  • Provider Enumeration Date: 06/29/2007
  • Last Update Date: 03/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0941391171
  • Enrollment ID: I20070802000244

Medical Identifiers

Medical identifiers for Dr Soumya Adhikari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457558777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology L9053 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Soumya Adhikari allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Soumya Adhikari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Soumya Adhikari, MD
5323 Harry Hines Blvd, Room G2.236, Mc 9063,
Dallas, TX 75390-7201

Ph: (214) 456-5959
Dr Soumya Adhikari, MD
5323 Harry Hines Blvd, Room G2.236, Mc 9063,
Dallas, TX 75390-7201

Ph: (214) 456-5959

Reviews and Comments


Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3438    
Ruth Osei Fordjour, M.D.
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Medicare: Medicare Enrolled
Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251
Phone: 214-957-4754    
Dr. Alecia Curlene Nero, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-4180    
Dr. Sravani Avula, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-730-5437    
Asif Zia Khattak, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3500 Gaston Ave, Dallas, TX 75246
Phone: 214-820-7604    
Sadia Malik, MD
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Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-2533    Fax: 214-456-8130
Sana Jamil Siddiqui, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-0488    Fax: 214-456-4486

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.