Ajay J Pathak, MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J6202 Issued in TX

Legal business name

AJAY J PATHAK, MD PA

Doing business as

Prime Family Medicine

Practice address

5899 Preston Rd Ste 1002
Frisco, TX 75034-9593

Phone

(972) 378-0066

Fax

(972) 378-3222

NPI assigned

Apr 18, 2012

Last updated

Jul 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ajay Pathak, MDNPI 1831114156

Title

Owner

Phone

(972) 533-2280

Specialties & licenses 1

Addresses

Other names 1

• Prime Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Ajay Jayendra Pathak, M.D.

  • Internal Medicine Physician
  • Little Elm, TX
  • NPI 1831114156
  Medicare reassignment NPD Authorized official
• Luis C Trigo III, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1912921990
  Medicare reassignment NPD

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1225395015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 1002",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349593",
            "telephone_number": "972-378-0066",
            "fax_number": "972-378-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 1002",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349593",
            "telephone_number": "972-378-0066",
            "fax_number": "972-378-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Eldorado Pkwy",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750685088",
            "country_code": "US",
            "telephone_number": "972-533-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AJAY J PATHAK, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-533-2280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Humera Ahmed, MD
• Linda Aigner, LMT
• Aim Medical Solutions LLC
• Efosa Airuehia, MD
• Tonia Michelle Ajamu, APRN
• Oloruntola Ajayi, PHARM. D
• Olabisi Ajibola, PHARMACIST
• Ifunanyachukwu Akanegbu
• Elsie Ihuoma Akanno X
• Emmanuel Ochiawuto Akara, AGPCNP-BC

• Internal Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.