Organization Active NPI

Ear, Nose and Throat Associates of Frisco, P.a.

  • Otolaryngology Physician
  • Frisco, TX
National Provider Identifier
1093839342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR, NOSE AND THROAT ASSOCIATES OF FRISCO, P.A.
Practice address
4401 Coit Rd
Suite 411
Frisco, TX 75035-0500
Phone
(972) 731-7654
Fax
(972) 731-6226
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Neelesh H. Mehendale, M.D.NPI 1235134271
Title
President
Phone
(972) 731-7654

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

4401 Coit Rd
Suite 411
Frisco, TX 75035-0500

Mailing address

4401 Coit Rd
Suite 411
Frisco, TX 75035-0500
Phone (972) 731-7654

Other identifiers 2

IdentifierTypeStateIssuer
0015LMOtherTXGROUP BCBS ID
DC5894OtherTXGROUP RAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803001184 TX Part B Supplier - Clinic/Group Practice 6800867953 Receives reassigned benefits from 14 practitioners
Practice locations: McKinney, TX; Prosper, TX; Plano, TX; Frisco, TX; Anna, TX

National Provider Directory

National Provider Directory

Locations

2016 W White St
Ste 100
Anna, TX 75409
Phone (972) 731-7654

2016 W White St
Anna, TX 75409
Phone (214) 831-2400

4401 Coit Rd
Ste 411
Frisco, TX 75035
Phone (972) 731-7654

5512 W Plano Pkwy
Ste 140
Plano, TX 75093

940 S Legacy Dr
Ste 30
Prosper, TX 75078
Phone (972) 731-7654

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093839342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 COIT RD",
            "address_2": "SUITE 411",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350500",
            "telephone_number": "972-731-7654",
            "fax_number": "972-731-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COIT RD",
            "address_2": "SUITE 411",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350500",
            "telephone_number": "972-731-7654",
            "fax_number": "972-731-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE AND THROAT ASSOCIATES OF FRISCO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHENDALE",
        "authorized_official_first_name": "NEELESH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-731-7654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS ID",
            "identifier": "0015LM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "DC5894",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.