Ismail Boodhwani, - Medicare Nurse Practitioner in Dallas, TX

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Ismail Boodhwani, is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Texas. His current practice location is 2100 W Colorado Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 943-4631.

Ismail Boodhwani is licensed to practice in Texas (license number AP139370) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033685680.

Contact Information

Ismail Boodhwani,
2100 W Colorado Blvd,
Dallas, TX 75211-1900
(214) 943-4631
(877) 416-0310

Map and Direction




Provider's Profile

Full NameIsmail Boodhwani
GenderMale
SpecialityNurse Practitioner - Family
Location2100 W Colorado Blvd, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033685680
  • Provider Enumeration Date: 10/22/2018
  • Last Update Date: 08/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345628632
  • Enrollment ID: I20220526002516

Medical Identifiers

Medical identifiers for Ismail Boodhwani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033685680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP139370 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ismail Boodhwani allows following entities to bill medicare on his behalf.
Entity NameTexas Specialty Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154821429
PECOS PAC ID: 0941553374
Enrollment ID: O20181031002581
Entity NameGuardian Biologics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033890876
PECOS PAC ID: 8123481470
Enrollment ID: O20231211001918
Entity NameLovedale Enterprises
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134985591
PECOS PAC ID: 0345688206
Enrollment ID: O20240411000110
Entity NameOld Mission Wound Care Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386484277
PECOS PAC ID: 6002355583
Enrollment ID: O20240828002418

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ismail Boodhwani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ismail Boodhwani,
2100 W Colorado Blvd,
Dallas, TX 75211-1999

Ph: (214) 943-4631		Ismail Boodhwani,
2100 W Colorado Blvd,
Dallas, TX 75211-1900

Ph: (214) 943-4631

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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