Organization Active NPI

Superhealth Medical Professional Association

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1104616416
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUPERHEALTH MEDICAL PROFESSIONAL ASSOCIATION
Practice address
5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238
Phone
(469) 833-3592
Fax
(210) 939-4384
NPI assigned
May 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Mr. Rehan Eijaz
Title
Business Head
Phone
(716) 301-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238

Mailing address

5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238
Phone (469) 833-3592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260126000851 TX Part B Supplier - Clinic/Group Practice 8022500719 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

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": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1104616416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 S LAKE FOREST DR STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702238",
            "telephone_number": "469-833-3592",
            "fax_number": "210-939-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S LAKE FOREST DR STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702238",
            "telephone_number": "469-833-3592",
            "fax_number": "210-939-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERHEALTH MEDICAL PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "EIJAZ",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "BUSINESS HEAD",
        "authorized_official_telephone_number": "716-301-2036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 9, 2025; 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.