Individual provider Active NPI

Kosunarty Fa, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1114912839
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1086 Issued in TX
Practice address
1411 N Beckley Ave Ste 370
Dallas, TX 75203-1513
Phone
(214) 358-2300
Fax
(214) 579-6983
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M1086 TX Primary

Addresses

Primary practice location

1411 N Beckley Ave Ste 370
Dallas, TX 75203-1513

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other practice location 1

3604 Live Oak St Ste 100
Dallas, TX 75204-6169
Phone (214) 358-2300

Other practice location 2

1411 N Beckley Ave Ste 268
Dallas, TX 75203-1260
Phone (214) 358-2300

Other identifiers 1

IdentifierTypeStateIssuer
M1086OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000834 TX Practitioner - Nephrology 8022070341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

1150 N Bishop Ave
Suite 200
Dallas, TX 75208-4168
Phone (972) 423-0637

1411 N Beckley Ave
Dallas, TX 75203-1259
Phone (214) 358-2300

1625 N Story Rd
Suite 140
Irving, TX 75061-1954
Phone (972) 871-8282

301 W Colorado Blvd
Dallas, TX 75208-2329
Phone (214) 947-8181

3604 Live Oak St
Suite 100
Dallas, TX 75204-6169
Phone (214) 358-2300

4810 W Illinois Ave
Dallas, TX 75211-6501
Phone (214) 467-3788

655 W Illinois Ave
Suite 740
Dallas, TX 75224-1814
Phone (214) 943-7065

Hospital & facility affiliations

  • South Oak Cliff Dialysis Center Dialysis facility, Dallas, TX, CCN 452687
  • Fresenius Medical Care of Cockrell Hill Dialysis facility, Dallas, TX, CCN 672659
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M1086TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jan 1, 2016 Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Nov 22, 2016 Accepting new patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 Accepting new patients
Medhealth CurrentSince Jan 1, 2016 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

6833 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 467-1895

1411 N Beckley Ave
Ste 370
Dallas, TX 75203

3604 Live Oak St
Ste 100
Dallas, TX 75204

1411 N Beckley Ave
Ste 268
Dallas, TX 75203

1420 Viceroy Dr
Dallas, TX 75235

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

4510 Medical Center Dr
Ste 305B
McKinney, TX 75069

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: kfa52278@direct.acumenmd.com
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kosunartyfa@dneph.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1114912839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 370",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031513",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3604 Live Oak St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752046169",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Beckley Ave Ste 268",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752031260",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FA",
        "first_name": "KOSUNARTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M1086",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.