Organization Active NPI

North Texas Medical Clinic, PLLC

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1215394473
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH TEXAS MEDICAL CLINIC, PLLC
Practice address
5350 Independence Pkwy
Ste 120
Frisco, TX 75035
Phone
(214) 888-2244
Fax
(877) 919-5871
NPI assigned
Jan 19, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Dr. Yamuna Gurrapu, M.DNPI 1255514576
Title
Owner/President
Phone
(214) 888-2244

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

5350 Independence Pkwy
Ste 120
Frisco, TX 75035

Mailing address

5350 Independence Pkwy
Ste 120
Frisco, TX 75035
Phone (214) 888-2244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160324000042 TX Part B Supplier - Clinic/Group Practice 4486951100 Receives reassigned benefits from 8 practitioners
Practice locations: Frisco, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2114567North Texas Medical Clinic, PLLC5350 Independence Parkway, Suite 120, Frisco, TX 75035Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCFAD

Practitioners & affiliated clinicians

Practitioners 8

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": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1215394473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 INDEPENDENCE PKWY",
            "address_2": "STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "214-888-2244",
            "fax_number": "877-919-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 INDEPENDENCE PKWY",
            "address_2": "STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "214-888-2244",
            "fax_number": "877-919-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "GURRAPU",
        "authorized_official_first_name": "YAMUNA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "214-888-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.