Individual provider Active NPI

Andrew Scott Fitzgerald, M.D.

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1184667545
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H9926 Issued in TX
Practice address
5601 Warren Pkwy
Frisco, TX 75034-4069
Phone
(214) 377-3700
NPI assigned
Jun 14, 2006
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H9926 TX Primary

Addresses

Primary practice location

5601 Warren Pkwy
Frisco, TX 75034-4069

Mailing address

801 E Campbell Rd Ste 400
Richardson, TX 75081-6797
Phone (214) 766-7282

Other identifiers 2

IdentifierTypeStateIssuer
046080001MedicaidTX
046080003MedicaidTX

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
I20081008000544 TX Practitioner - Internal Medicine 3476522137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD on Call PAGroup PAC ID 2264402874, 11 clinicians

Practice addresses (Care Compare)

5601 Warren Pkwy
Frisco, TX 75034-4069
Phone (214) 221-6362

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MD on Call PA Internal Medicine CurrentSince Jun 22, 2008 Accepting new patients
NP Concepts, PLLC Current Accepting new patients

Locations

8050 Meadow Rd
Dallas, TX 75231
Phone (214) 396-5260

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

6160 Warren Pkwy
Ste 100
Frisco, TX 75034
Phone (866) 217-1463

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

801 E Campbell Rd
Ste 400
Richardson, TX 75081

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1184667545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CAMPBELL RD STE 400",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816797",
            "telephone_number": "214-766-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 WARREN PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344069",
            "telephone_number": "214-377-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046080001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046080003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.