Individual provider Active NPI

Dina Altuhafy, M.B.CH.B.

  • Nephrology Physician
  • Plano, TX
National Provider Identifier
1093209140
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
U1462 Issued in TX
Practice address
1600 Coit Rd Ste 300
Plano, TX 75075-6172
Phone
(972) 295-9660
Fax
(972) 599-1058
NPI assigned
Jun 20, 2018
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X U1462 TX Primary

Addresses

Primary practice location

1600 Coit Rd Ste 300
Plano, TX 75075-6172

Mailing address

1600 Waters Ridge Dr Ste a
Lewisville, TX 75057-6039
Phone (972) 219-0558

Other practice location 1

4401 Coit Rd Ste 303
Frisco, TX 75035-0508
Phone (469) 850-6139

Other practice location 2

6300 W Parker Rd Ste 224
Plano, TX 75093-8102
Phone (469) 574-0464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719003276 TX Practitioner - NephrologyPractitioner - Internal Medicine 1658625504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1220 Coit Rd
Suite 107
Plano, TX 75075-7757
Phone (972) 295-9660

1600 Coit Rd
Suite 300
Plano, TX 75075-6172
Phone (972) 295-9660

1600 Waters Ridge Dr
Suite a
Lewisville, TX 75057-6039

1600 Waters Ridge Dr a
Ntkda Lewisville
Lewisville, TX 75057-6039
Phone (972) 219-0558

3315 Colorado Blvd
Suite 102
Denton, TX 76210-6885
Phone (940) 320-1708

4401 Coit Rd
Suite 303
Frisco, TX 75035-0508
Phone (469) 850-6139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
78.39
Promoting interoperability
100
Improvement activities
40
Cost
77.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Kidney Disease Associates Nephrology CurrentSince Jul 15, 2023 Accepting new patients
North Texas Kidney Disease Associates Nephrology CurrentSince Jul 15, 2023 Accepting new patients
North Texas Kidney Disease Associates Nephrology Past Accepting new patients

Locations

3315 Colorado Blvd
Ste 102
Denton, TX 76210
Phone (940) 320-1708

4401 Coit Rd
Ste 303
Frisco, TX 75035
Phone (214) 469-0022

1600 Waters Ridge Dr
Ste A
Lewisville, TX 75057
Phone (940) 320-1708

6331 Boulevard 26
Ste 220
North Richland Hills, TX 76180
Phone (817) 628-0284

1220 Coit Rd
Ste 107
Plano, TX 75075
Phone (972) 295-9660

1600 Coit Rd
Ste 300
Plano, TX 75075
Phone (972) 295-9660

6300 W Parker Rd
Ste 224
Plano, TX 75093
Phone (469) 574-0464

Interoperability endpoints

  • Direct secure messaging: dina.altuhafy.1@23918.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23918/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1093209140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "972-219-0558",
            "fax_number": "214-466-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756172",
            "telephone_number": "972-295-9660",
            "fax_number": "972-599-1058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Coit Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750350508",
            "country_code": "US",
            "telephone_number": "469-850-6139",
            "fax_number": "469-362-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 W Parker Rd Ste 224",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938102",
            "country_code": "US",
            "telephone_number": "469-574-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTUHAFY",
        "first_name": "DINA",
        "credential": "M.B.CH.B.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "U1462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.