ISMAIL JR. BOODHWANI (FNP-C) – Family Nurse Practitioner, NPI 1033685680
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for ISMAIL JR. BOODHWANI (FNP-C)
North Central Expressway, Dallas, TX, Dallas, Dallas County, Texas, 75204, United States
DALLAS, TX 752043208
Phone: (432) 230-5512
Type: Mailing
2100 W COLORADO BLVD
DALLAS, TX 752111999
Phone: (214) 943-4631
Fax: (877) 416-0310
Type: Mailing
4004 WORTH ST STE 200
DALLAS, TX 752461640
Phone: (214) 521-5191
Fax: (214) 623-6807
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $2,393.
Total Amount is formed as General ($2,393) + Research ($0) + Ownership ($0) = $2,393.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ViiV Healthcare Company ($755).
Total Amount
$2,393
General + Research + Ownership
Payments
76
Total payment records
General Amount
$2,393
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $755 |
| Gilead Sciences, Inc. | $494 |
| Merck Sharp & Dohme LLC | $236 |
| Merz North America, Inc. | $146 |
| Antares Pharma, Inc. | $132 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220526002516 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | CA | |
| Infectious Disease, Internal Medicine | TX | |
| - | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX |
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