Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DURGA DANDU
NPI 1902281934
Internal Medicine in Denton, TX

Active since July 20, 2015PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
3535 S INTERSTATE 35 E, DENTON, TX 76210(954) 939-5000 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2026, Mar 16, 2026, Mar 13, 2026 and 3 more (6 updates tracked since 2018).

About Durga Dandu NPPES

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

DURGA DANDU (NPI 1902281934) is an individual internal medicine provider in Denton, Texas, licensed in Texas (V2719) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1902281934
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDURGA DANDU
Location Address3535 S INTERSTATE 35 EDenton, TX 76210-6850
Mailing Address3535 S Interstate 35 EDenton, TX 76210-6850 · (954) 939-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 20, 2015
Last NPPES UpdateSeptember 1, 20266 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1902281934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · V2719✔ Licensed in PA · MD464604
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3535 S INTERSTATE 35 E, Denton, TX 76210

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

Durga Dandu 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 ID9638470529
PECOS Enrollment IDI20241107004230
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 Reassignments

2

Medicare enrollment records show Durga Dandu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
654 services263 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
146 services142 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

Muenster Memorial Hospital

Critical Access Hospitals · Muenster, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451335
Location605 N Maple StreetMuenster, TX 76252 · Cooke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
2 suppliers16 claims16 services$6.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$83.66 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 Anesthetist, Certified Registered
3535 S INTERSTATE 35 E
DENTON, TX 76210
Internal Medicine
3535 S INTERSTATE 35 E
DENTON, TX 76210
Internal Medicine
3535 S INTERSTATE 35 E, DENTON REGIONAL MEDICAL CENTER
DENTON, TX 76210
Internal Medicine
3535 S INTERSTATE 35 E
DENTON, TX 76210
Student in an Organized Health Care Education/Training Program
3535 S INTERSTATE 35 E
DENTON, TX 76210
Emergency Medicine
3535 S INTERSTATE 35 E
DENTON, TX 76210
Physical Therapist
3535 S INTERSTATE 35 E
DENTON, TX 76210
Student in an Organized Health Care Education/Training Program
3535 S INTERSTATE 35 E
DENTON, TX 76210

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 Durga Dandu's NPI number?

The NPI number for Durga Dandu is 1902281934. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Durga Dandu located?

Durga Dandu practices at 3535 S Interstate 35 E, Denton, TX 76210. The listed phone number is (954) 939-5000.

What is Durga Dandu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Durga Dandu enrolled in Medicare?

Yes. Durga Dandu 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 organizations bill Medicare for Durga Dandu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Durga Dandu reassigns Medicare benefits to 2 organizations: Questcare Hospitalists PLLC (Dallas, TX) and Regional Health Services Inc (Erie, PA). Each 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 Durga Dandu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Durga Dandu accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Durga Dandu 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.

Is Durga Dandu affiliated with any hospitals?

According to CMS data, Durga Dandu is affiliated with Medical City Denton, Texas Health Presbyterian Hospital Denton and Muenster Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Durga Dandu was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.