Organization Active NPI

Omega Heights Family Medicine Clinic PLLC

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1003212440
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OMEGA HEIGHTS FAMILY MEDICINE CLINIC PLLC
Practice address
2730 Virginia Pkwy
Suite 200
McKinney, TX 75071-5088
Phone
(214) 491-4900
Fax
(214) 491-4966
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nanette Icho, MDNPI 1467656918
Title
President
Phone
(214) 491-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X TX Primary
Adolescent Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0000X TX
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X TX

Addresses

Primary practice location

2730 Virginia Pkwy
Suite 200
McKinney, TX 75071-5088

Mailing address

2730 Virginia Pkwy
Suite 200
McKinney, TX 75071-5088
Phone (214) 491-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150306001873 TX Part B Supplier - Clinic/Group Practice 9830415975 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX; McKinney, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1003212440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 VIRGINIA PKWY",
            "address_2": "SUITE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715088",
            "telephone_number": "214-491-4900",
            "fax_number": "214-491-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 VIRGINIA PKWY",
            "address_2": "SUITE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715088",
            "telephone_number": "214-491-4900",
            "fax_number": "214-491-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEIGHTS FAMILY MEDICINE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "ICHO",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-491-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.