Idcare, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

IDCARE, PLLC

Practice address

4100 W 15TH St Ste 110
Plano, TX 75093-5826

Phone

(469) 408-9558

Fax

(888) 393-5922

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Srivalli Adari, MDNPI 1336341619

Title

Ceo

Phone

(469) 408-2530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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

• Srivalli Adari, M.D.

  • Infectious Disease Physician
  • Plano, TX
  • NPI 1336341619
  Medicare reassignment Care Compare group NPD Authorized official
• Sowmya Nanjappa, MD

  • Infectious Disease Physician
  • Plano, TX
  • NPI 1942565403
  Medicare reassignment Care Compare group NPD
• Reena Mathew, FNP

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1679060941
  Medicare reassignment NPD
• Neda Ghobadi

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1619865771
  NPD

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1093123085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251382",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251382",
            "telephone_number": "469-408-9558",
            "fax_number": "888-393-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935826",
            "telephone_number": "469-408-9558",
            "fax_number": "888-393-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "ADARI",
        "authorized_official_first_name": "SRIVALLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-408-2530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Icon Medical Supplies
• Iconiq Spine & Orthopaedic Center PLLC
• Id Docs of Dallas PA
• Ideal Alternative Support
• Ideal Dental of Plano
• Ideal Dental of Preston Creek PLLC
• Ideal Dental of Willow Bend PLLC
• Ideal Physical Therapy of Texas LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.