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DR. NIYOMI DE SILVA M.D.
NPI 1447481213
Family Medicine in Grand Prairie, TX

Active since July 28, 2009PECOS EnrolledAccepts Medicare Assignment
4927 LAKE RIDGE PKWY STE 100, GRAND PRAIRIE, TX 75052(469) 506-1671 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2023, Apr 21, 2021, Mar 11, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Niyomi De Silva M.d. NPPES

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

DR. NIYOMI DE SILVA M.D. (NPI 1447481213) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (T3609) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1447481213
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NIYOMI DE SILVACredential: M.D.
Location Address4927 LAKE RIDGE PKWY STE 100Grand Prairie, TX 75052-3060
Mailing Address4401 Coit Rd Ste 409Frisco, TX 75035-0519 · (469) 800-4130
Phone(469) 506-1671
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 28, 2009
Last NPPES UpdateMarch 16, 20236 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1447481213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · T3609✔ Licensed in VA · 0101253694✔ Licensed in TX · 47283✔ Licensed in FL · ME122692
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125056535 (IL)
4927 LAKE RIDGE PKWY STE 100, Grand Prairie, TX 75052
Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 1st St S Ste 100AWinter Haven, FL 33880-3904 · Phone (863) 280-6080 · Fax (863) 229-7587

Other Identifiers 1

Medicaid014452700FL

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. Niyomi De Silva 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 ID749421881
PECOS Enrollment IDI20210405002376
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 7

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.
133 services69 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.
59 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
42 services38 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.
29 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 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 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
63%88 patients3/55-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 3

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

DR. BABAK AFSHINNIK MD
Student in an Organized Health Care Education/Training Program
4927 LAKE RIDGE PKWY STE 100
GRAND PRAIRIE, TX 75052
Dallas County (469) 599-0050
ANA MARIA HOYOS NP
Nurse Practitioner (Family)
4927 LAKE RIDGE PKWY STE 100
GRAND PRAIRIE, TX 75052
Dallas County (972) 641-9000
THANUJA D CHANDRASENA D.O.
Family Medicine
4927 LAKE RIDGE PKWY STE 100
GRAND PRAIRIE, TX 75052
Dallas County (469) 506-1671

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 Niyomi De Silva's NPI number?

The NPI number for Niyomi De Silva is 1447481213. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Where is Niyomi De Silva located?

Niyomi De Silva practices at 4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX 75052. The listed phone number is (469) 506-1671.

What is Niyomi De Silva's specialty?

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

Is Niyomi De Silva enrolled in Medicare?

Yes. Niyomi De Silva 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 Niyomi De Silva 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 Niyomi De Silva 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 Niyomi De Silva affiliated with any hospitals?

According to CMS data, Niyomi De Silva is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Niyomi De Silva was last updated on March 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.