Infusionmed USA Carrollton PLLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

INFUSIONMED USA CARROLLTON PLLC

Practice address

4323 N Josey LN Ste 101
Carrollton, TX 75010-4619

Phone

(972) 810-0990

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Rakesh Kumar Patel

Title

Medical Director

Phone

(972) 810-0990

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Suresh N. Chavda, M.D.

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1689627846
  Medicare reassignment NPD
• Joel S Jones, DO

  • General Practice Physician
  • Bentonville, AR
  • NPI 1194783472

  Emergency Medicine, TX

  Medicare reassignment NPD
• Khaled Shaker Elghonemy, MD

  • Internal Medicine Physician
  • Mukilteo, WA
  • NPI 1063790665

  TX

  Medicare reassignment

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1154914307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104619",
            "telephone_number": "972-810-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104619",
            "telephone_number": "972-810-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSIONMED USA CARROLLTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-810-0990"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Randolf Ingram, LPC, LMFT
• Janice Ann Ingram, LPC
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• Inova Diagnostics LLC

• Infusion Therapy Clinic/Center in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.