DR. ANKUR SINHA MBBS
NPI 1205218369
Internal Medicine - Pulmonary Disease in Dallas, TX

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
3410 WORTH ST STE 250, DALLAS, TX 75246(214) 820-6856(214) 820-1474 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2022, Jun 4, 2021 (2 updates tracked since 2021).

About Dr. Ankur Sinha Mbbs NPPES

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

DR. ANKUR SINHA MBBS (NPI 1205218369) is an individual pulmonary disease provider in Dallas, Texas, licensed in Texas (W0301) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205218369
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ANKUR SINHACredential: MBBS
Location Address3410 WORTH ST STE 250Dallas, TX 75246-2073
Mailing Address3410 Worth St Ste 250Dallas, TX 75246-2073 · (214) 820-6856 · Fax (214) 820-1474
Fax(214) 820-1474
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2015
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1205218369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · W0301
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License W0301 (TX)
3410 WORTH ST STE 250, Dallas, TX 75246

Accepted 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

Dr. Ankur Sinha Mbbs 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 ID5294070207
PECOS Enrollment IDI20250917002110
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 Reassignments

2

Medicare enrollment records show Ankur Sinha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3600 GASTON AVE STE 550
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
Family Medicine
2003 STULTS RD STE 100
Huntington, IN 46750
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group

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 10

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.
62 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services24 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
27 services27 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
26 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services15 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
24 services18 patients

Hospital Affiliations CMS Care Compare

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
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.

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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$91.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$33.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Acute Care)
3410 WORTH ST STE 250
DALLAS, TX 75246
Internal Medicine (Pulmonary Disease)
3410 WORTH ST STE 250
DALLAS, TX 75246
Internal Medicine (Pulmonary Disease)
3410 WORTH ST STE 250
DALLAS, TX 75246
Internal Medicine (Cardiovascular Disease)
3410 WORTH ST STE 250
DALLAS, TX 75246
Internal Medicine (Cardiovascular Disease)
3410 WORTH ST STE 250
DALLAS, TX 75246
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3410 WORTH ST STE 250
DALLAS, TX 75246
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3410 WORTH ST STE 250
DALLAS, TX 75246
Internal Medicine (Pulmonary Disease)
3410 WORTH ST STE 250
DALLAS, TX 75246

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 Ankur Sinha's NPI number?

The NPI number for Ankur Sinha is 1205218369. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Ankur Sinha located?

Ankur Sinha practices at 3410 Worth St Ste 250, Dallas, TX 75246. The listed phone number is (214) 820-6856.

What is Ankur Sinha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ankur Sinha enrolled in Medicare?

Yes. Ankur Sinha 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 organizations bill Medicare for Ankur Sinha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ankur Sinha reassigns Medicare benefits to 2 organizations: Healthtexas Provider Network (Dallas, TX) and Parkview Health System,inc (Huntington, IN). Each 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 Ankur Sinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ankur Sinha accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CareSource list Ankur Sinha 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 Ankur Sinha affiliated with any hospitals?

According to CMS data, Ankur Sinha is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Ankur Sinha was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.