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ISMAIL BOODHWANI JR. FNP-C
NPI 1033685680
Nurse Practitioner - Family in Dallas, TX

Active since October 22, 2018PECOS EnrolledAccepts Medicare Assignment
4004 WORTH ST STE 200, DALLAS, TX 75246(214) 521-5191(214) 623-6807 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2026, Apr 9, 2024, Jul 5, 2023 and 2 more (5 updates tracked since 2018).

About Ismail Boodhwani Jr. Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISMAIL BOODHWANI JR. FNP-C (NPI 1033685680) is an individual family provider in Dallas, Texas, licensed in Texas (AP139370) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033685680
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameISMAIL BOODHWANI JR.Credential: FNP-C
Location Address4004 WORTH ST STE 200Dallas, TX 75246-1640
Mailing Address4004 Worth St Ste 200Dallas, TX 75246-1640 · (214) 521-5191 · Fax (214) 623-6807
Phone(214) 521-5191
Fax(214) 623-6807
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 22, 2018
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1033685680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP139370
4004 WORTH ST STE 200, Dallas, TX 75246
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ismail Boodhwani Jr. Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345628632
PECOS Enrollment IDI20220526002516
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA GUADALUPE GARCIA MS, LPC
Counselor (Professional)
4004 WORTH ST STE 200
DALLAS, TX 75246
Dallas County (214) 623-6830
RAYMOND CASTILLEJA JR. LCSW-S
Social Worker (Clinical)
4004 WORTH ST STE 200
DALLAS, TX 75246
Dallas County (469) 802-2468
ROCHELLE TURNER LMSW, LCDC
Counselor (Addiction (Substance Use Disorder))
4004 WORTH ST STE 200
DALLAS, TX 75246
Dallas County (214) 521-5191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ismail Boodhwani's NPI number?

The NPI number for Ismail Boodhwani is 1033685680. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Ismail Boodhwani located?

Ismail Boodhwani practices at 4004 Worth St Ste 200, Dallas, TX 75246. The listed phone number is (214) 521-5191.

What is Ismail Boodhwani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ismail Boodhwani enrolled in Medicare?

Yes. Ismail Boodhwani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ismail Boodhwani accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Ismail Boodhwani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ismail Boodhwani was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.