NPIMap

Individual provider Active NPI

Rina Sarkar, MD

  • General Practice Physician
  • Southlake, TX
National Provider Identifier
1073558433
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
Q1900 Issued in TX
Practice address
630 N Kimball Ave
Suite# 110
Southlake, TX 76092-6645
Phone
(817) 488-8080
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q1900 TX
General Practice Physician 208D00000X Q1900 TX Primary

Addresses

Primary practice location

630 N Kimball Ave
Suite# 110
Southlake, TX 76092-6645

Mailing address

12555 Orange Dr
Suite# 105
Davie, FL 33330-4304

Other identifiers 1

IdentifierTypeStateIssuer
00880988MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180511000815 TX Practitioner - General Practice 0840265138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
DFW Primary Care PLLCGroup PAC ID 8628201498, 3 clinicians
DFW Medical Home PLLCGroup PAC ID 8921223843, 4 clinicians

Practice addresses (Care Compare)

2925 Skyway Circle N
DFW Geriatrics PLLC
Irving, TX 75038-3510
Phone (972) 247-3060

Hospital & facility affiliations

  • Envital Healthcare Inc Home health agency, Allen, TX, CCN 748015
  • Ultimate Home Health Care Home health agency, Mesquite, TX, CCN 679543
  • Maxcare Home Health Services Inc Home health agency, Houston, TX, CCN 679093
  • Famcare Home Health Services, Inc. Home health agency, Richmond, TX, CCN 747563
  • Millennium Health Services, Inc. Home health agency, Sugar Land, TX, CCN 747813
  • Hospice Services Inc Hospice, Irving, TX, CCN A91533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Primary Care PLLC Internal Medicine CurrentSince Feb 21, 2023 Accepting new patients
DFW Medical Home PLLC CurrentSince Jul 20, 2020 Accepting new patients
Sumana Ketha, MD PA Internal Medicine CurrentSince Feb 21, 2023 Accepting new patients
Rina Sarkar MD PC PastSince Jun 22, 2004 Accepting new patients

Locations

2925 Skyway Cir N
Irving, TX 75038
Phone (972) 247-3060

2925 Skyway Cir N
#P
Irving, TX 75038
Phone (972) 675-7313

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12615/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1073558433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR",
            "address_2": "SUITE# 105",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N KIMBALL AVE",
            "address_2": "SUITE# 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926645",
            "telephone_number": "817-488-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKAR",
        "first_name": "RINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q1900",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q1900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880988",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.