Individual provider Active NPI

Eric Kavosh, MD

  • Allergy Physician
  • Plano, TX
National Provider Identifier
1164683249
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
N6414 Issued in TX
Practice address
5904 Chapel Hill Blvd Ste 103
Plano, TX 75093-5910
Phone
(972) 473-2532
Fax
(972) 473-2535
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X N6414 TX Primary

Addresses

Primary practice location

5904 Chapel Hill Blvd Ste 103
Plano, TX 75093-5910

Mailing address

5904 Chapel Hill Blvd Ste 103
Plano, TX 75093-5910
Phone (972) 473-2532

Other identifiers 1

IdentifierTypeStateIssuer
8CT448OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000711 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6709070469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5904 Chapel Hill Rd
Suite 103
Plano, TX 75093-5925
Phone (972) 473-2532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Texas PLLC Current Accepting new patients
Osher Chaim PLLC CurrentSince Dec 27, 2010 Accepting new patients

Locations

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

5904 Chapel Hill Blvd
Ste 103
Plano, TX 75093
Phone (972) 473-2532

Interoperability endpoints

  • Direct secure messaging: eric.kavosh@clearai.ssdirect.aprima.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1164683249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 CHAPEL HILL BLVD STE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935910",
            "telephone_number": "972-473-2532",
            "fax_number": "972-473-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 CHAPEL HILL BLVD STE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935910",
            "telephone_number": "972-473-2532",
            "fax_number": "972-473-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVOSH",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "N6414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CT448",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.