NPIMap

Organization Active NPI

Texoma Arthritis Clinic, P.a.

  • Rheumatology Physician
  • McKinney, TX
National Provider Identifier
1003904335
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
TEXOMA ARTHRITIS CLINIC, P.A.
Practice address
1445 Heritage Dr
Ste a
McKinney, TX 75069-3394
Phone
(972) 547-9700
Fax
(972) 547-1110
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Surekha Gangasani, MDNPI 1437255619
Title
President
Phone
(972) 547-9700

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1445 Heritage Dr
Ste a
McKinney, TX 75069-3394

Mailing address

1445 Heritage Dr
Ste a
McKinney, TX 75069-3394
Phone (972) 547-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080306000084 TX Part B Supplier - Clinic/Group Practice 8325123094 Receives reassigned benefits from 3 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1003904335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 HERITAGE DR",
            "address_2": "STE A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693394",
            "telephone_number": "972-547-9700",
            "fax_number": "972-547-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 HERITAGE DR",
            "address_2": "STE A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693394",
            "telephone_number": "972-547-9700",
            "fax_number": "972-547-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA ARTHRITIS CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "GANGASANI",
        "authorized_official_first_name": "SUREKHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-547-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 11, 2014; 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.