NPIMap

Organization Active NPI

First Family Care, PLLC

Doing business as First Med

  • Family Medicine Physician
  • Roanoke, TX
National Provider Identifier
1154666758
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST FAMILY CARE, PLLC
Doing business as
First Med
Practice address
1212 N Highway 377 Ste 119
Roanoke, TX 76262-6916
Phone
(682) 831-1591
NPI assigned
Dec 7, 2012
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Prakash Bhakta, DCNPI 1659542355
Title
Owner
Phone
(682) 831-1591

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1212 N Highway 377 Ste 119
Roanoke, TX 76262-6916

Mailing address

1212 N Highway 377 Ste 119
Roanoke, TX 76262-6916
Phone (682) 831-1591

Other names 1

  • FIRST MED Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130522000598 TX Part B Supplier - Clinic/Group Practice 3577701085 Receives reassigned benefits from 7 practitioners
Practice locations: Roanoke, TX

National Provider Directory

National Provider Directory

Locations

1212 N Highway 377
Ste 119
Roanoke, TX 76262
Phone (682) 831-1591

208 E Highway 114
Ste 300
Roanoke, TX 76262
Phone (682) 831-1591

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8235/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1154666758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N HIGHWAY 377 STE 119",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626916",
            "telephone_number": "682-831-1591",
            "fax_number": "682-831-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N HIGHWAY 377 STE 119",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626916",
            "telephone_number": "682-831-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-831-1591",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST MED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.