Active NPI
Forty Winks Anesthesia, PLLC
- Anesthesiology Physician
- Carrollton, TX
National Provider Identifier
1003380767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- FORTY WINKS ANESTHESIA, PLLC
- Practice address
- 4221 Medical Pkwy Ste 150
Carrollton, TX 75010-4545 - Phone
- (972) 939-2121
- Fax
- (972) 939-2120
- NPI assigned
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adnan Nadir
- Title
- Medical Director
- Phone
- (972) 939-2121
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
4221 Medical Pkwy Ste 150
Carrollton, TX 75010-4545
Mailing address
4221 Medical Pkwy Ste 150
Carrollton, TX 75010-4545
Phone (972) 939-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240523000840 | TX | Part B Supplier - Clinic/Group Practice | 6901248889 | Practice locations: Richardson, TX; Carrollton, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Carrollton, TX
- NPI 1275588394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1003380767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 MEDICAL PKWY STE 150",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104545",
"telephone_number": "972-939-2121",
"fax_number": "972-939-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 MEDICAL PKWY STE 150",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104545",
"telephone_number": "972-939-2121",
"fax_number": "972-939-2120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTY WINKS ANESTHESIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "NADIR",
"authorized_official_first_name": "ADNAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "972-939-2121",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.