Individual provider Active NPI

Kriti Khati, NP-C

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1013561620
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142003 Issued in TX
Practice address
3204 N Macarthur Blvd Ste a
Irving, TX 75062-8804
Phone
(972) 607-9487
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142003 TX Primary

Addresses

Primary practice location

3204 N Macarthur Blvd Ste a
Irving, TX 75062-8804

Mailing address

1826 Long Bow TRL
Euless, TX 76040-5726

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EPIC Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230512001578 TX Practitioner - Nurse Practitioner 6901262195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Regenerative and Neuropathy Center PLLCGroup PAC ID 2567890270, 2 clinicians
Infinity Family Practice and Neuropathy PLLCGroup PAC ID 7012487309, 2 clinicians

Practice addresses (Care Compare)

4700 Dexter Dr
Suite 400
Plano, TX 75093-5299
Phone (469) 209-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Regenerative and Neuropathy Center PLLC CurrentSince Apr 1, 2023 Accepting new patients
Infinity Family Practice and Neuropathy PLLC Family Current Accepting new patients

Locations

4700 Dexter Dr
Ste 400
Plano, TX 75093
Phone (469) 209-8100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1013561620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 LONG BOW TRL",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760405726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N MACARTHUR BLVD STE A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628804",
            "telephone_number": "972-607-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATI",
        "first_name": "KRITI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3204 N MacArthur Blvd Ste A",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750628804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.