Organization Active NPI

Channel Medical Group, P.a.

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1215670070
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHANNEL MEDICAL GROUP, P.A.
Practice address
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone
(646) 389-3451
NPI assigned
Apr 19, 2022
Last updated
Mar 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Authorized official

Name
Saba Haq, MDNPI 1669460085
Title
President
Phone
(949) 463-0650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923

Mailing address

123 5TH Ave FL 2
New York, NY 10003-1019
Phone (833) 447-2775

National Provider Directory

National Provider Directory

Locations

123 5th Ave
Fl 2
New York, NY 10003

4 E 27th St
Unit 20206
New York, NY 10001

Practitioners & affiliated clinicians

Practitioners 1

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": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709424000000",
    "number": "1215670070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031019",
            "telephone_number": "833-447-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N SAINT PAUL ST STE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013923",
            "telephone_number": "646-389-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-463-0650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.