Organization Active NPI

Texas Spine Physicians

  • Physical Medicine & Rehabilitation Physician
  • McKinney, TX
National Provider Identifier
1144918384
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TEXAS SPINE PHYSICIANS
Practice address
7300 Eldorado Pkwy Ste a
McKinney, TX 75070-7891
Phone
(469) 995-7957
Fax
(469) 995-8733
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Brite Chalunkal, DONPI 1790917797
Title
President
Phone
(914) 338-2678

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

7300 Eldorado Pkwy Ste a
McKinney, TX 75070-7891

Mailing address

7300 Eldorado Pkwy Ste 255
McKinney, TX 75070-9194
Phone (469) 995-7957

Other names 1

  • n/a Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002000660 TX Part B Supplier - Clinic/Group Practice 8022462621 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

7300 Eldorado Pkwy
Ste A
McKinney, TX 75070
Phone (469) 995-7957

Practitioners & affiliated clinicians

Practitioners 3

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": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1144918384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY STE 255",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750709194",
            "telephone_number": "469-995-7957",
            "fax_number": "469-995-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY STE A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707891",
            "telephone_number": "469-995-7957",
            "fax_number": "469-995-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPINE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "CHALUNKAL",
        "authorized_official_first_name": "BRITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-338-2678",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.