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DR. MAHENDRA MAHATMA M.D.
NPI 1437176187
Internal Medicine - Gastroenterology in Irving, TX

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
47.3/100
CMS Quality Rating
6500 SIERRA DR, SUITE 170, IRVING, TX 75039(972) 570-5884(972) 570-0779 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mahendra Mahatma M.d. NPPES

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

DR. MAHENDRA MAHATMA M.D. (NPI 1437176187) is an individual gastroenterology provider in Irving, Texas, licensed in Texas (H8739) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1437176187
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MAHENDRA MAHATMACredential: M.D.
Location Address6500 SIERRA DR, SUITE 170Irving, TX 75039-2480
Mailing Address6500 Sierra Dr, Suite 170Irving, TX 75039-2480 · (972) 570-5884 · Fax (972) 570-0779
Phone(972) 570-5884
Fax(972) 570-0779
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 17, 2006
Last NPPES UpdateAugust 18, 2011
✔ NPI 1437176187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · H8739
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.
6500 SIERRA DR, Irving, TX 75039
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB63367TX
Medicare ID-Type Unspecified00F85ZTX
Medicaid098320701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Baylor Scott and White Health Plan 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. Mahendra Mahatma M.d. 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 ID9436141991
PECOS Enrollment IDI20040402000524
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 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.
215 services141 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.
79 services79 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services61 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.
56 services56 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.
51 services23 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.
39 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75039 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.

47.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability98
Improvement Activities20
Cost51.02

Reported Quality Measures

e-Prescribing
99%286 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%324 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MAHENDRA MAHATMA, M.D., P.A.
Specialist
6500 SIERRA DR, #170
IRVING, TX 75039
Dallas County (972) 331-1590

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 Mahendra Mahatma's NPI number?

The NPI number for Mahendra Mahatma is 1437176187. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Mahendra Mahatma located?

Mahendra Mahatma practices at 6500 Sierra Dr Suite 170, Irving, TX 75039. The listed phone number is (972) 570-5884.

What is Mahendra Mahatma's specialty?

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

Is Mahendra Mahatma enrolled in Medicare?

Yes. Mahendra Mahatma 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 Mahendra Mahatma accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mahendra Mahatma 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 Mahendra Mahatma affiliated with any hospitals?

According to CMS data, Mahendra Mahatma is affiliated with Baylor Scott & White Medical Center At Irving and Texas Health Presbyterian Hospital Flower Mound.

When was this NPI record last updated?

The NPPES record for Mahendra Mahatma was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.