NISHA GAJENDRA – Family Medicine Physician, NPI 1578874368

NISHA GAJENDRA is a healthcare provider. based in Frisco, Texas. specializing in FAMILY PRACTICE. They hold a License No. P9345 (TX). The NPI Number for NISHA GAJENDRA is 1578874368

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NISHA GAJENDRA
NPI
1578874368
Phone
(945) 800-7803
Address
5575 FRISCO SQUARE BLVD STE 210
Enumeration Date
25 June 2010
Last Update Date
28 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9723829292
Graduation Year
2014 (12 years ago)
PAC ID
3375794704
Group Practice PAC ID
5092750620
Professional Enrollment ID
I20140623002429
Address ID
TX750708278MC240XXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for NISHA GAJENDRA

  • 5575 FRISCO SQUARE BLVD STE 210

    FRISCO, TX 750343309

    Phone: (945) 800-7803

    Type: Mailing

  • 2587 FM 423 STE 130

    LITTLE ELM, TX 750686670

    Phone: (972) 200-4780

    Fax: (844) 363-2590

    Type: Mailing

  • 2774 E Eldorado Pkwy

    Little Elm, TX 750685998

    Phone: (972) 525-9900

    Fax: (469) 333-7988

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Abbott Laboratories ($212).

Total Amount

$353

General + Research + Ownership

Payments

12

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-06-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140623002429IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8748$0
36415Insertion of needle into vein for collection of blood sample3322$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
99213Established patient office or other outpatient visit, 20-29 minutes1816$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1313$0
View full utilization report →

Insurance plans in this area (ZIP 75034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092750620View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Family Practice, Geriatric MedicineTX
Internal MedicineTX
Physician AssistantTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Physician AssistantVA
Internal MedicineTX

Reviews

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Frequently asked questions

Is NISHA GAJENDRA listed with a National Provider Identifier?
Yes — NISHA GAJENDRA has NPI 1578874368 on file in the registry.
Is NISHA GAJENDRA still an active registrant?
NISHA GAJENDRA carries an active NPI according to the public dataset.
What kind of doctor is NISHA GAJENDRA?
NISHA GAJENDRA is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is NISHA GAJENDRA located near Frisco?
NISHA GAJENDRA currently maps to Frisco, Texas in this extract.
When was this NPI issued?
Enumeration for NISHA GAJENDRA is noted as June 25, 2010 where the registry provides it.

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