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DR. SAMIR PANDYA MD
NPI 1255575122
Surgery in Dallas, TX

Active since April 23, 2009PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-6040(214) 456-6320 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Nov 10, 2021, Oct 23, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Samir Pandya Md NPPES

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

DR. SAMIR PANDYA MD (NPI 1255575122) is an individual surgery provider in Dallas, Texas, licensed in Texas (R3572) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1255575122
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SAMIR PANDYACredential: MD
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address1935 Medical District DrDallas, TX 75235-7701 · (214) 456-6040 · Fax (214) 456-6320
Phone(214) 456-6040
Fax(214) 456-6320
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 23, 2009
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1255575122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · R3572
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License 60-262191 (NY), R3572 (TX), 062071 (GA)
1935 MEDICAL DISTRICT DR, Dallas, TX 75235
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Secondary Practice Locations 4

Location 1New York Medical College, Division of Pediatric Surgery, Munger Pavillion Room 321Valhalla, NY 10595 · Phone (914) 493-7620 · Fax (914) 594-4933
Location 25700 Dallas PkwyFrisco, TX 75034-9580 · Phone (469) 515-7100 · Fax (469) 515-7101
Location 33800 Gaylord Pkwy Ste 850Frisco, TX 75034-0248 · Phone (469) 857-2222 · Fax (469) 857-2223
Location 42222 Welborn StDallas, TX 75219-3924 · Phone (214) 559-5000 · Fax (214) 443-7309

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

Dr. Samir Pandya Md 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 ID4688846454
PECOS Enrollment IDI20170807001027
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 75235 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
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 20

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

TERESA ANNA JONES CPNP-AC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (973) 801-0173
CASSIE ANN LAURENCE PA-C
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MICHELE WILLET RYLANDER RN, MSN, CPNP
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MR. ADAM CHRISTOPHER WENNER CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (469) 303-7000
RICHARD DAVID SENTELLE D.M.D./PH.D.
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Dallas County (214) 456-2735
KELSEY NICOLE BURKHART PA
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
RENAE JEAN WHITE MD
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-2735
VICTORIA LEE CPNP-AC/PC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000

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 Samir Pandya's NPI number?

The NPI number for Samir Pandya is 1255575122. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Samir Pandya located?

Samir Pandya practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-6040.

What is Samir Pandya's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samir Pandya enrolled in Medicare?

Yes. Samir Pandya 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 Samir Pandya 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 3 other insurers list Samir Pandya 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 Samir Pandya was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.