Organization Active NPI

Gurjeet S Kalra M.D. P.a.

  • Psychiatry Physician
  • Greenville, TX
National Provider Identifier
1093073793
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H4836 Issued in TX
Legal business name
GURJEET S KALRA M.D. P.A.
Practice address
4818 Wellington St Ste 4
Greenville, TX 75402-6010
Phone
(903) 454-1600
Fax
(903) 454-2262
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Gurjeet S Kalra, M.D.NPI 1700895026
Title
President
Phone
(903) 454-1600

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X H4836 TX Primary

Addresses

Primary practice location

4818 Wellington St Ste 4
Greenville, TX 75402-6010

Mailing address

4818 Wellington St Ste 4
Greenville, TX 75402-6010
Phone (903) 454-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000123 TX Part B Supplier - Clinic/Group Practice 7315109386 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX; Farmersville, TX

National Provider Directory

National Provider Directory

Locations

2824 Terrell Rd
Ste 304
Greenville, TX 75402
Phone (903) 354-1600

Practitioners & affiliated clinicians

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": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1093073793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 WELLINGTON ST STE 4",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026010",
            "telephone_number": "903-454-1600",
            "fax_number": "903-454-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 WELLINGTON ST STE 4",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026010",
            "telephone_number": "903-454-1600",
            "fax_number": "903-454-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURJEET S KALRA M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "KALRA",
        "authorized_official_first_name": "GURJEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-454-1600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H4836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.