Organization Active NPI

Kinex Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • McKinney, TX
National Provider Identifier
1104338086
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
KINEX PODIATRY PLLC
Practice address
1740 W Virginia St Ste 100
McKinney, TX 75069
Phone
(972) 709-7556
Fax
(972) 709-7611
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Dr. Syed Hashir Mohiuddin, DPMNPI 1609282532
Title
Podiatrist, Owner
Phone
(972) 709-7556

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

1740 W Virginia St Ste 100
McKinney, TX 75069

Mailing address

1740 W Virginia St Ste 100
McKinney, TX 75069-7864
Phone (972) 709-7556

Other identifiers 2

IdentifierTypeStateIssuer
1104338086OtherTXNPI GROUP
193200000XOtherTXTAXONOMY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180403000424 TX Part B Supplier - Clinic/Group Practice 3476815424 Receives reassigned benefits from 3 practitioners
Practice locations: McKinney, TX; Plano, TX
O20191112001490 TX DME Supplier - Physician - Podiatry 3476815424 Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

2140 N Lake Forest Dr
Unit 100
McKinney, TX 75071
Phone (972) 709-7556

2140 N Lake Forest Dr
Ste 100
McKinney, TX 75071
Phone (469) 215-2023

1740 W Virginia St
McKinney, TX 75069

1740 W Virginia St
Ste 100
McKinney, TX 75069
Phone (972) 709-7556

Practitioners & affiliated clinicians

Practitioners 3

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": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1104338086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W VIRGINIA ST STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697864",
            "telephone_number": "972-709-7556",
            "fax_number": "972-709-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W VIRGINIA ST STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-709-7556",
            "fax_number": "972-709-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINEX PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "HASHIR",
        "authorized_official_title_or_position": "PODIATRIST, OWNER",
        "authorized_official_telephone_number": "972-709-7556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1104338086",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "193200000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.