Organization Active NPI

Allen Ambulatory Anesthesia, PLLC

  • Anesthesiology Physician
  • McKinney, TX
National Provider Identifier
1023345261
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ALLEN AMBULATORY ANESTHESIA, PLLC
Practice address
4510 Medical Center Dr
Suite C-150
McKinney, TX 75069-1650
Phone
(972) 547-1580
Fax
(866) 215-7317
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Irani Shashikala Ekanayake, M.D.NPI 1265402861
Title
Owner
Phone
(732) 822-2574

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4510 Medical Center Dr
Suite C-150
McKinney, TX 75069-1650

Mailing address

813 Rolling Meadows CT
Allen, TX 75013-5465
Phone (732) 822-2574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100519000375 TX Part B Supplier - Clinic/Group Practice 1759410426 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman, TX; McKinney, TX

National Provider Directory

National Provider Directory

Practitioners 1

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": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1023345261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 ROLLING MEADOWS CT",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135465",
            "telephone_number": "732-822-2574",
            "fax_number": "972-908-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DR",
            "address_2": "SUITE C-150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691650",
            "telephone_number": "972-547-1580",
            "fax_number": "866-215-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN AMBULATORY ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "EKANAYAKE",
        "authorized_official_first_name": "IRANI",
        "authorized_official_middle_name": "SHASHIKALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-822-2574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "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 Nov 9, 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.