Organization Active NPI

Advanced Comprehensive Medical Center PA

Doing business as Advanced Comprehensive Medical Center

  • General Practice Physician
  • Plano, TX
National Provider Identifier
1114052362
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ADVANCED COMPREHENSIVE MEDICAL CENTER PA
Doing business as
Advanced Comprehensive Medical Center
Wellness Dallas Medical
Practice address
4674 McDermott Rd Ste 308
Plano, TX 75024-7797
Phone
(972) 424-4243
Fax
(972) 424-6211
NPI assigned
Feb 21, 2007
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dr. James Kontaratos, DCNPI 1336202126
Title
President
Phone
(972) 424-4243

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4674 McDermott Rd Ste 308
Plano, TX 75024-7797

Mailing address

4674 McDermott Rd Ste 308
Plano, TX 75024-7797
Phone (972) 424-4243

Other identifiers 2

IdentifierTypeStateIssuer
0003KYOtherTXBLUE CROSS BLUE SHIELD
0003KYOtherTXBCBS OF TX

Other names 2

  • Advanced Comprehensive Medical Center Doing business as
  • Wellness Dallas Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110114000348 TX Part B Supplier - Clinic/Group Practice 0143419648 Receives reassigned benefits from 3 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1114052362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 MCDERMOTT RD STE 308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247797",
            "telephone_number": "972-424-4243",
            "fax_number": "972-424-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 MCDERMOTT RD STE 308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247797",
            "telephone_number": "972-424-4243",
            "fax_number": "972-424-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COMPREHENSIVE MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "KONTARATOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-424-4243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0003KY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0003KY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Comprehensive Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness Dallas Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.