Active NPI
Deepak Pahuja, M.D., MBBS, FACP
- Internal Medicine Physician
- Frisco, TX
National Provider Identifier
1124010400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD426930
- Practice address
- 2770 Main St Ste 233
Frisco, TX 75033-4463 - Phone
- (888) 492-0254
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME90837 | FL | |
| Internal Medicine Physician | 207R00000X | 4301077930 | MI | |
| Internal Medicine Physician | 207R00000X | MD426930 | PA | Primary |
Addresses
Primary practice location
2770 Main St Ste 233
Frisco, TX 75033-4463
Mailing address
2770 Main St Ste 233
Frisco, TX 75033-4463
Phone (810) 610-7726
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017347570002 | Medicaid | PA | |
| 001746825 | Other | PA | HIGHMARK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.aerolib.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90837 | FL | MD | Internal Medicine Physician |
| 4301077930 | MI | MD | Internal Medicine Physician |
| MD426930 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Physicians Network, PC | Past | Accepting new patients | |
| Erie Physicians Network PC | Past | Accepting new patients | |
| Community Action Medical Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Uniontown, PA
- NPI 1386670453
-
- Multi-Specialty Clinic/Center
- Erie, PA
- NPI 1902844574
-
- Multi-Specialty Clinic/Center
- Erie, PA
- NPI 1215080908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1124010400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 MAIN ST STE 233",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334463",
"telephone_number": "810-610-7726",
"fax_number": "814-453-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 MAIN ST STE 233",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334463",
"telephone_number": "888-492-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHUJA",
"first_name": "DEEPAK",
"name_prefix": "Dr.",
"credential": "M.D., MBBS, FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME90837",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301077930",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD426930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017347570002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "001746825",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.aerolib.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Adress",
"address_1": "2770 Main St Ste 233",
"city": "Frisco",
"state": "TX",
"country_code": "US",
"postal_code": "750334463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.