MR. MADHAV THAPALIYA
NPI 1881284578
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX
About Mr. Madhav Thapaliya NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MADHAV THAPALIYA (NPI 1881284578) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1049378) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Mr. Madhav Thapaliya 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.
Medicare Billing Reassignment
Medicare enrollment records show Madhav Thapaliya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75211
- Reassigned Medicare billing, Texas enrollment
- 173 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DALLAS, TX 75216
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 Madhav Thapaliya's NPI number?
The NPI number for Madhav Thapaliya is 1881284578. It was assigned to this individual provider in the NPPES registry on January 26, 2021.
Where is Madhav Thapaliya located?
Madhav Thapaliya practices at 3330 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 371-0474.
What is Madhav Thapaliya's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Madhav Thapaliya enrolled in Medicare?
Yes. Madhav Thapaliya 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 Madhav Thapaliya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madhav Thapaliya reassigns Medicare benefits to Dallas County Mental Health & Mental Retardation Center (Dallas, 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 Madhav Thapaliya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madhav Thapaliya 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 Madhav Thapaliya 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 Madhav Thapaliya was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mr. Madhav Thapaliya · NPI 1881284578
Psychiatric/Mental Health physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since January 26, 2021.
## Identity
- **NPI:** 1881284578 (Entity type: Individual)
- **Enumerated:** January 26, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1049378 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3330 S LANCASTER RD, Dallas, TX 75216-4531
- **Phone:** (214) 371-0474
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dallas County Mental Health & Mental Retardation Center (NPI 1023239886, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 8, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1881284578) · Data from the CMS NPPES public registry.