Organization Active NPI

Plano Neurology, PA

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1003884511
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K5187 Issued in TX
Legal business name
PLANO NEUROLOGY, PA
Practice address
4601 Old Shepard PL
#406
Plano, TX 75093-5279
Phone
(972) 867-3535
Fax
(972) 867-3530
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Geeta Rajan, M.D.NPI 1477502235
Title
President
Phone
(972) 867-3535

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X K5187 TX Primary

Addresses

Primary practice location

4601 Old Shepard PL
#406
Plano, TX 75093-5279

Mailing address

4601 Old Shepard PL
#406
Plano, TX 75093-5279
Phone (972) 867-3535

Other identifiers 2

IdentifierTypeStateIssuer
0004LMOtherTXBCBS
036972002MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001027 TX Part B Supplier - Clinic/Group Practice 1254301971 Receives reassigned benefits from 3 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

4601 Old Shepard Pl
Ste 406
Plano, TX 75093
Phone (972) 867-3535

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJAAAA

Practitioners & affiliated clinicians

Practitioners 5

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": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1003884511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "#406",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "972-867-3535",
            "fax_number": "972-867-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "#406",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "972-867-3535",
            "fax_number": "972-867-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "RAJAN",
        "authorized_official_first_name": "GEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-867-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K5187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004LM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036972002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.