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KIRAN MENDHA M.D.
NPI 1790210912
Family Medicine - Adult Medicine in Frisco, TX

Active since April 25, 2017PECOS EnrolledAccepts Medicare Assignment
5550 WARREN PKWY STE 120, FRISCO, TX 75034(469) 905-3780 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2021, Jun 30, 2021, Apr 23, 2021 and 1 more (4 updates tracked since 2017).

About Kiran Mendha M.d. NPPES

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

KIRAN MENDHA M.D. (NPI 1790210912) is an individual adult medicine provider in Frisco, Texas, licensed in Texas (S8881) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2020).

NPPES Registry Identity

NPI1790210912
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameKIRAN MENDHACredential: M.D.
Location Address5550 WARREN PKWY STE 120Frisco, TX 75034-7399
Mailing Address5550 Warren Pkwy Ste 120Frisco, TX 75034-7399
Phone(469) 905-3780
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2020
Enumeration DateApril 25, 2017
Last NPPES UpdateSeptember 9, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1790210912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · S8881
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily MedicineTaxonomy 207Q00000X · License S8881 (TX)
5550 WARREN PKWY STE 120, Frisco, TX 75034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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

Kiran Mendha 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 ID4587935382
PECOS Enrollment IDI20210719000014
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 2

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.
23 services12 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.
14 services12 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.

Other Providers at the Same Location NPPES 2

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

MADISONNE HOPE PITTARD PA-C
Physician Assistant
5550 WARREN PKWY STE 120
FRISCO, TX 75034
Denton County (469) 905-3780
MENDHA PRIMARY CARE PLLC
Family Medicine
5550 WARREN PKWY STE 120
FRISCO, TX 75034
Denton County (813) 770-9914

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 Kiran Mendha's NPI number?

The NPI number for Kiran Mendha is 1790210912. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Kiran Mendha located?

Kiran Mendha practices at 5550 Warren Pkwy Ste 120, Frisco, TX 75034. The listed phone number is (469) 905-3780.

What is Kiran Mendha's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Kiran Mendha enrolled in Medicare?

Yes. Kiran Mendha 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 Kiran Mendha accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Kiran Mendha 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 Kiran Mendha was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.