Organization Active NPI

Diagnostic Partners of North Texas, P.a.

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1013016153
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DIAGNOSTIC PARTNERS OF NORTH TEXAS, P.A.
Practice address
5140 Legendary Dr Ste 100
Frisco, TX 75034-9042
Phone
(972) 867-9507
Fax
(972) 578-7705
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Vijay K Sharma, MDNPI 1962475822
Title
Physician /President of the Company
Phone
(972) 867-9507

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5140 Legendary Dr Ste 100
Frisco, TX 75034-9042

Mailing address

5140 Legendary Dr Ste 100
Frisco, TX 75034-9042
Phone (972) 867-9507

Other identifiers 3

IdentifierTypeStateIssuer
00531TOtherTXMEDICARE ID
45D1012942OtherCLIA
930119683OtherTXMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000313 TX Part B Supplier - Clinic/Group Practice 0345272092 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Frisco, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1012942Diagnostic Partners of North Texas5140 Legendary Dr Suite 100, Frisco, TX 75034Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1600 Coit Rd
Ste 101
Plano, TX 75075
Phone (972) 867-7500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1013016153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 LEGENDARY DR STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349042",
            "telephone_number": "972-867-9507",
            "fax_number": "972-578-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 LEGENDARY DR STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349042",
            "telephone_number": "972-867-9507",
            "fax_number": "972-578-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC PARTNERS OF NORTH TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN /PRESIDENT OF THE COMPANY",
        "authorized_official_telephone_number": "972-867-9507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00531T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1012942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930119683",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.