Organization Active NPI

Isaac Z Pugach MD PLLC

  • Multi-Specialty Clinic/Center
  • Plano, TX
National Provider Identifier
1154445815
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ISAAC Z PUGACH MD PLLC
Practice address
660 N Central Expy Ste 640
Plano, TX 75074-6856
Phone
(972) 792-7777
Fax
(469) 969-0090
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Isaac Z Pugach, M.D.NPI 1255412409
Title
Manager
Phone
(972) 792-7777

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

660 N Central Expy Ste 640
Plano, TX 75074-6856

Mailing address

660 N Central Expy Ste 640
Plano, TX 75074-6856
Phone (972) 792-7777

Other names 2

  • COMPLETE MED CARE Doing business as
  • PURE SPRING MEDICAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000512 TX Part B Supplier - Clinic/Group Practice 3577646504 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1068440Complete Med Care660 N Central Expy Ste 640, Plano, TX 75074Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Locations

8989 Forest Ln
Ste 146
Dallas, TX 75243
Phone (972) 792-7777

660 N Central Expy
Ste 640
Plano, TX 75074
Phone (972) 792-7777

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1154445815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N CENTRAL EXPY STE 640",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746856",
            "telephone_number": "972-792-7777",
            "fax_number": "469-969-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N CENTRAL EXPY STE 640",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746856",
            "telephone_number": "972-792-7777",
            "fax_number": "469-969-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC Z PUGACH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "PUGACH",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-792-7777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE MED CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMPLETE MED CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PURE SPRING MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.