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DEEPTI DHAVALESHWAR
NPI 1093050148
Internal Medicine - Gastroenterology in Allen, TX

Active since November 30, 2012PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
945 STOCKTON DR UNIT 1110, ALLEN, TX 75013(469) 333-9505(469) 333-9506 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Sep 28, 2020, Nov 12, 2019 and 2 more (5 updates tracked since 2017).

About Deepti Dhavaleshwar NPPES

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

DEEPTI DHAVALESHWAR (NPI 1093050148) is an individual gastroenterology provider in Allen, Texas, licensed in Texas (R8553) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Allen, and maintains a secondary practice location in Allen.

NPPES Registry Identity

NPI1093050148
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDEEPTI DHAVALESHWAR
Location Address945 STOCKTON DR UNIT 1110Allen, TX 75013-6153
Mailing Address950 E State Highway 114 Ste 200Southlake, TX 76092-5261 · (214) 424-2200 · Fax (214) 231-2159
Phone(469) 333-9505
Fax(469) 333-9506
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 30, 2012
Last NPPES UpdateJanuary 21, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1093050148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in TX · R8553✔ Licensed in PA · MD452033
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
945 STOCKTON DR UNIT 1110, Allen, TX 75013
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Secondary Practice Location 1

Location 1981 State Highway 121, Suite 1140Allen, TX 75013 · Phone (469) 697-5100 · Fax (469) 697-5105

Other Identifiers 1

Medicaid102968788PA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deepti Dhavaleshwar 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 ID4183844368
PECOS Enrollment IDI20181217002240
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.

Medicare Billing Reassignment

Medicare enrollment records show Deepti Dhavaleshwar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Digestive Disease Consultants, PLLC
22 mi
Gastroenterology
701 TUSCAN DR, STE 110
Irving, TX 75039
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
NPI 1053397331 (214) 496-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
123 services105 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
89 services86 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
83 services83 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.
78 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX
OwnershipProprietary
CMS Certification Number670069
Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County
Emergency services

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

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 Deepti Dhavaleshwar's NPI number?

The NPI number for Deepti Dhavaleshwar is 1093050148. It was assigned to this individual provider in the NPPES registry on November 30, 2012.

Where is Deepti Dhavaleshwar located?

Deepti Dhavaleshwar practices at 945 Stockton Dr Unit 1110, Allen, TX 75013. The listed phone number is (469) 333-9505.

What is Deepti Dhavaleshwar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Deepti Dhavaleshwar enrolled in Medicare?

Yes. Deepti Dhavaleshwar 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.

Which organization bills Medicare for Deepti Dhavaleshwar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deepti Dhavaleshwar reassigns Medicare benefits to Texas Digestive Disease Consultants, PLLC (Irving, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deepti Dhavaleshwar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deepti Dhavaleshwar accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Deepti Dhavaleshwar 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 Deepti Dhavaleshwar affiliated with any hospitals?

According to CMS data, Deepti Dhavaleshwar is affiliated with Texas Health Presbyterian Hospital Allen, Methodist Mckinney Hospital and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Deepti Dhavaleshwar was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.