SAPNA PANDYA D.O.
NPI 1750511523
Family Medicine in Irving, TX

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
90.13/100
CMS Quality Rating
1800 N BRITAIN RD, IRVING, TX 75061(214) 266-3000 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sapna Pandya D.o. NPPES

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

SAPNA PANDYA D.O. (NPI 1750511523) is an individual family medicine provider in Irving, Texas, licensed in Texas (Q2598) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2009).

NPPES Registry Identity

NPI1750511523
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAPNA PANDYACredential: D.O.
Location Address1800 N BRITAIN RDIrving, TX 75061-2630
Mailing AddressPo Box 660599Dallas, TX 75266-0599
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2009
Enumeration DateJuly 15, 2009
Last NPPES UpdateJuly 28, 2015
NPI 1750511523 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 · Q2598
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.

1800 N BRITAIN RD, Irving, TX 75061

Other Names 1

Former Name (1)Sapna Shah Do

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

Sapna Pandya D.o. 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 ID2860645421
PECOS Enrollment IDI20150910001065
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

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, 30-39 minutes 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75061 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.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.11
Promoting Interoperability88
Improvement Activities40
Cost63.49

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims23 services$5.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Women's Health)
1800 N BRITAIN RD, IRVING WOMEN'S HEALTH CENTER
IRVING, TX 75061
Family Medicine
1800 N BRITAIN RD
IRVING, TX 75061
Nurse Practitioner (Women's Health)
1800 N BRITAIN RD, IRVING WOMEN'S HEALTH CENTER
IRVING, TX 75061
Nurse Practitioner (Women's Health)
1800 N BRITAIN RD
IRVING, TX 75061
Pediatrics
1800 N BRITAIN RD, IRVING HEALTH CENTER
IRVING, TX 75061
Family Medicine
1800 N BRITAIN RD
IRVING, TX 75061
Internal Medicine
1800 N BRITAIN RD, IRVING HEALTH CENTER
IRVING, TX 75061
Family Medicine
1800 N BRITAIN RD
IRVING, TX 75061

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 Sapna Pandya's NPI number?

The NPI number for Sapna Pandya is 1750511523. It was assigned to this individual provider in the NPPES registry on July 15, 2009. The provider is also known as Sapna Shah Do.

Where is Sapna Pandya located?

Sapna Pandya practices at 1800 N Britain Rd, Irving, TX 75061. The listed phone number is (214) 266-3000.

What is Sapna Pandya's specialty?

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

Is Sapna Pandya enrolled in Medicare?

Yes. Sapna 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.

When was this NPI record last updated?

The NPPES record for Sapna Pandya was last updated on July 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.