Ridgeview Family Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIDGEVIEW FAMILY CLINIC PLLC

Doing business as

Express Family Clinic

Practice address

940 Ridgeview Dr Ste 150
Allen, TX 75013-5544

Phone

(972) 672-4121

Fax

(972) 905-4690

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Lourdes E Godfrey

Title

Office Manager

Phone

(972) 672-4121

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Express Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13912/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunil Jashvantlal Modi, M.D.

  • Family Medicine Physician
  • Allen, TX
  • NPI 1811195365
  Medicare reassignment Care Compare group NPD
• Pradeep Singh Parihar, MD

  • Family Medicine Physician
  • Allen, TX
  • NPI 1316033418
  Medicare reassignment Care Compare group NPD
• Darshna Shahiwala, APRN

  • Family Nurse Practitioner
  • Allen, TX
  • NPI 1982262614
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1144675059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 RIDGEVIEW DR STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135544",
            "telephone_number": "972-672-4121",
            "fax_number": "972-905-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 RIDGEVIEW DR STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135544",
            "telephone_number": "972-672-4121",
            "fax_number": "972-905-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11285 LaMar Ln",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750330075",
            "country_code": "US",
            "telephone_number": "214-727-7514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIDGEVIEW FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-672-4121"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "M3680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367021801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Thomas Richards, DC
• Stephanie Richardson, LPC
• Rider Athletic Advantage (Athletic Advantage)
• Rider Wellness & Rehab
• Chad Michael Rider, D.C.
• Devrick Ridgeway, LMFT-ASSOCIATE
• Jane Carol Ridgway, MA, LPC, NCC
• Rihab Kheir, M.D.,P.a.
• Lara Rihani, DNP, APRN, FNP-C
• Carla Riley, APRN, AGPCNP-BC

• Family Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.