DR. SANGEETHAPRIYA DURAISWAMY (MD) – Gastroenterology Physician, NPI 1578754750
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,297 INTERNAL MEDICINE in TX
Provider Addresses for DR. SANGEETHAPRIYA DURAISWAMY (MD)
5850 Town and Country Blvd Ste 302
Frisco, TX 750346945
Phone: (469) 980-2708
Fax: (469) 980-2712
Type: Location
4461 Coit Rd Ste 105
Frisco, TX 750350522
Phone: (469) 980-2708
Fax: (469) 980-2712
Type: Location
Coit Road, Frisco, Collin County, Texas, 75024:75057, United States
FRISCO, TX 750350522
Phone: (469) 980-2708
Fax: (469) 980-2712
Type: Location
North Stemmons Freeway, West End Historic District, Design District, Dallas, TX, Dallas, Dallas County, Texas, 75115, United States
DALLAS, TX 752474228
Phone: (214) 689-5960
Fax: (469) 713-8084
Type: Mailing
PO BOX 35629
DALLAS, TX 752350629
Phone: (214) 424-2200
Fax: (214) 231-2159
Type: Mailing
3880 PARKWOOD BLVD STE 602
FRISCO, TX 750341931
Phone: (469) 980-2708
Fax: (469) 980-2712
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $821.
Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($601).
Total Amount
$821
General + Research + Ownership
Payments
51
Total payment records
General Amount
$821
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $601 |
| QOL Medical, LLC | $53 |
| Janssen Pharmaceuticals, Inc | $40 |
| Janssen Biotech, Inc. | $39 |
| CapsoVision, Inc. | $23 |
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: 2009-09-16
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 |
|---|---|---|---|---|
| I20090916000412 | I | Gastroenterology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 95 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 83 | 75 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 76 | 76 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 70 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 67 | $0 |
Insurance plans in this area (ZIP 75034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | TX | 45385 | Removal of polyps or growths of large bowel using an endoscope | 31 | 30 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine, Gastroenterology | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Physician Assistant | TX | |
| G A S T R O E N T E R O L O G Y | LA |
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