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WISAM NACHAWATI DO
NPI 1043644537
Family Medicine in Grand Prairie, TX

Active since September 03, 2013PECOS EnrolledAccepts Medicare Assignment
5224 S STATE HIGHWAY 360 STE 230, GRAND PRAIRIE, TX 75052(972) 522-0691(972) 522-1053 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2023, Apr 11, 2019 (2 updates tracked since 2019).

About Wisam Nachawati Do NPPES

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

WISAM NACHAWATI DO (NPI 1043644537) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (T1786) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Methodist Mansfield Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).

NPPES Registry Identity

NPI1043644537
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWISAM NACHAWATICredential: DO
Location Address5224 S STATE HIGHWAY 360 STE 230Grand Prairie, TX 75052-0964
Mailing Address5224 S State Highway 360 Ste 230Grand Prairie, TX 75052-0964 · (972) 522-0691 · Fax (972) 522-1053
Phone(972) 522-0691
Fax(972) 522-1053
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019
Enumeration DateSeptember 3, 2013
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1043644537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T1786
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5224 S STATE HIGHWAY 360 STE 230, Grand Prairie, TX 75052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Wisam Nachawati Do 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 ID3274767629
PECOS Enrollment IDI20220614000325
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
237 services105 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
182 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
61 services61 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
56 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services36 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
53 services53 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 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.

JACQUELINE MILES FNP
Nurse Practitioner (Primary Care)
5224 S STATE HIGHWAY 360 STE 230
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-0691
MARY ANN WEAVER MD
Family Medicine
5224 S STATE HIGHWAY 360 STE 230
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-0691
DR. GERALD G GEORGE D.O.
Family Medicine
5224 S STATE HIGHWAY 360 STE 230
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-0691

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 Wisam Nachawati's NPI number?

The NPI number for Wisam Nachawati is 1043644537. It was assigned to this individual provider in the NPPES registry on September 3, 2013.

Where is Wisam Nachawati located?

Wisam Nachawati practices at 5224 S State Highway 360 Ste 230, Grand Prairie, TX 75052. The listed phone number is (972) 522-0691.

What is Wisam Nachawati's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wisam Nachawati enrolled in Medicare?

Yes. Wisam Nachawati 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 Wisam Nachawati accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Wisam Nachawati 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.

Is Wisam Nachawati affiliated with any hospitals?

According to CMS data, Wisam Nachawati is affiliated with Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Wisam Nachawati was last updated on January 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.