Crescent Cardiology Associates

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

N4507 Issued in TX

Legal business name

CRESCENT CARDIOLOGY ASSOCIATES

Practice address

8401 Memorial LN
#7445
Plano, TX 75024-2285

Phone

(214) 794-3511

Fax

(214) 291-5829

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Fayak Shameem Kamili, M.D.NPI 1164642666

Title

Director

Phone

(214) 794-3511

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fayak S Kamili, M.D.

  • Interventional Cardiology Physician
  • Frisco, TX
  • NPI 1164642666
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1053690735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MEMORIAL LN",
            "address_2": "#7445",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242285",
            "telephone_number": "214-794-3511",
            "fax_number": "214-291-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MEMORIAL LN",
            "address_2": "#7445",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242285",
            "telephone_number": "214-794-3511",
            "fax_number": "214-291-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "KAMILI",
        "authorized_official_first_name": "FAYAK",
        "authorized_official_middle_name": "SHAMEEM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-794-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N4507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164642666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nadine Creel, LMT
• Deenie Cress
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• Margie Carol Crews, ACNP
• Allan Joseph Cribbins III, M.D.
• Amber Brook Criddle

• Cardiovascular Disease Physician in Plano, TX
• Providers in Plano, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.