DR. SOUMYA ADHIKARI M.D.
NPI 1457558777
Pediatrics - Pediatric Endocrinology in Dallas, TX

Active since June 29, 2007PECOS Enrolled
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD, ROOM G2.236, MC 9063, DALLAS, TX 75390(214) 456-5959(214) 456-5963 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Soumya Adhikari M.d. NPPES

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

DR. SOUMYA ADHIKARI M.D. (NPI 1457558777) is an individual pediatric endocrinology provider in Dallas, Texas, licensed in Texas (L9053) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457558777
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameDR. SOUMYA ADHIKARICredential: M.D.
Location Address5323 HARRY HINES BLVD, ROOM G2.236, MC 9063Dallas, TX 75390-7201
Mailing Address5323 Harry Hines Blvd, Room G2.236, Mc 9063Dallas, TX 75390-7201 · (214) 456-5959 · Fax (214) 456-5963
Fax(214) 456-5963
Sole ProprietorYes
Enumeration DateJune 29, 2007
Last NPPES UpdateMarch 22, 2011
NPI 1457558777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in TX · L9053
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
5323 HARRY HINES BLVD, Dallas, TX 75390

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Soumya Adhikari M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 75390 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.

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.

Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390

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 Soumya Adhikari's NPI number?

The NPI number for Soumya Adhikari is 1457558777. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Soumya Adhikari located?

Soumya Adhikari practices at 5323 Harry Hines Blvd Room G2.236, Mc 9063, Dallas, TX 75390. The listed phone number is (214) 456-5959.

What is Soumya Adhikari's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Soumya Adhikari enrolled in Medicare?

Yes. Soumya Adhikari is registered in the Medicare PECOS enrollment system.

What insurance does Soumya Adhikari accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Soumya Adhikari 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 Soumya Adhikari was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.