Medco Physician Group

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MEDCO PHYSICIAN GROUP

Practice address

3960 Legacy Dr
Plano, TX 75023-8319

Phone

(469) 392-4000

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Tony Shahri

Title

Managing Member

Phone

(469) 392-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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

• Kareem Mohamed Elshatory, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1790730133

  Multi-Specialty

  Medicare reassignment NPD
• John Frey, MD

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1811998453
  Medicare reassignment NPD
• Nasir Khan, M.D.

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1659328714
  Medicare reassignment NPD
• Abdulla Kudrath, M.D.

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1437442050
  Medicare reassignment NPD
• Tariq Vora, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1053323261

  Emergency Medicine

  Medicare reassignment NPD
• Sharad S Swami, MD

  • Internal Medicine Physician
  • Clinton, OK
  • NPI 1548217813

  Emergency Medicine, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1154887842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232398",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920232398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 LEGACY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750238319",
            "telephone_number": "469-392-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "SHAHRI",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-392-4000"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Southwest, PLLC
• Med Southwest, PLLC
• Harinineeraja Meda, M.D.,
• Medco ER
• Medco ER Plano
• Medi-Lynx Cardiac Monitoring LLC
• Medi-Lynx Monitoring Inc.
• Medical Associates of Plano, P.a.
• Medical Center of McKinney
• Medical Clinic of North Texas, PLLC

• Emergency Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.