Organization Active NPI

Lone Star Infectious Disease Specialist PLLC

  • Infectious Disease Physician
  • Lewisville, TX
National Provider Identifier
1114871787
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
LONE STAR INFECTIOUS DISEASE SPECIALIST PLLC
Practice address
118 Lynn Ave Ste 100
Lewisville, TX 75057-3706
Phone
(214) 926-9374
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Jagadeesh Unnikrishnan
Title
Authorized Offical
Phone
(214) 912-2604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

118 Lynn Ave Ste 100
Lewisville, TX 75057-3706

Mailing address

118 Lynn Ave Ste 100
Lewisville, TX 75057-3706
Phone (214) 926-9374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260616004386 TX Part B Supplier - Clinic/Group Practice 5294207650 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisville, 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": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1114871787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LYNN AVE STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573706",
            "telephone_number": "214-926-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LYNN AVE STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573706",
            "telephone_number": "214-926-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR INFECTIOUS DISEASE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "UNNIKRISHNAN",
        "authorized_official_first_name": "JAGADEESH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "214-912-2604"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.