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NISHA GAJENDRA
NPI 1578874368
Family Medicine in Frisco, TX

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment
5575 FRISCO SQUARE BLVD STE 210, FRISCO, TX 75034(945) 800-7803 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2018, May 1, 2018 (2 updates tracked since 2018).

About Nisha Gajendra NPPES

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

NISHA GAJENDRA (NPI 1578874368) is an individual family medicine provider in Frisco, Texas, licensed in Texas (P9345) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Elm, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578874368
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNISHA GAJENDRA
Location Address5575 FRISCO SQUARE BLVD STE 210Frisco, TX 75034-3309
Mailing Address5575 Frisco Square Blvd Ste 210Frisco, TX 75034-3309 · (945) 800-7803
Phone(945) 800-7803
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 25, 2010
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1578874368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · P9345
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.
5575 FRISCO SQUARE BLVD STE 210, Frisco, TX 75034
Open in Google Maps ↗

Secondary Practice Location 1

Location 12774 E Eldorado PkwyLittle Elm, TX 75068-5998 · Phone (972) 525-9900 · Fax (469) 333-7988

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nisha Gajendra 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 ID3375794704
PECOS Enrollment IDI20140623002429
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 Reassignment

Medicare enrollment records show Nisha Gajendra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doctors Of Internal Medicine PLLC
6.6 mi
Internal Medicine
5941 DALLAS PKWY
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 20 clinicians in this Medicare group
NPI 1194895474 (972) 758-4455

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 3

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.
100 services49 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.
34 services34 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.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.05 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims3,300 services$0.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nisha Gajendra's NPI number?

The NPI number for Nisha Gajendra is 1578874368. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Nisha Gajendra located?

Nisha Gajendra practices at 5575 Frisco Square Blvd Ste 210, Frisco, TX 75034. The listed phone number is (945) 800-7803.

What is Nisha Gajendra's specialty?

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

Is Nisha Gajendra enrolled in Medicare?

Yes. Nisha Gajendra 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 organization bills Medicare for Nisha Gajendra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Gajendra reassigns Medicare benefits to Doctors Of Internal Medicine PLLC (Plano, TX). The 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 Nisha Gajendra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisha Gajendra 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 2 other insurers list Nisha Gajendra 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 Nisha Gajendra was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.