Organization Active NPI

Plano Heart Center, P.a.

  • Cardiovascular Disease Physician
  • Plano, TX
National Provider Identifier
1235356171
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K9006 Issued in TX
Legal business name
PLANO HEART CENTER, P.A.
Practice address
4104 W 15TH St
Suite 201
Plano, TX 75093-5860
Phone
(972) 596-9200
Fax
(972) 596-9206
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Poonam Goyal Agarwal, M.D.NPI 1861455446
Title
President
Phone
(972) 596-9200

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X K9006 TX Primary

Addresses

Primary practice location

4104 W 15TH St
Suite 201
Plano, TX 75093-5860

Mailing address

4104 W 15TH St
Suite 201
Plano, TX 75093-5860
Phone (972) 596-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100830000085 TX Part B Supplier - Clinic/Group Practice 3577687433 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

4104 W 15th St
Ste 201
Plano, TX 75093
Phone (972) 596-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1235356171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 W 15TH ST",
            "address_2": "SUITE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935860",
            "telephone_number": "972-596-9200",
            "fax_number": "972-596-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 W 15TH ST",
            "address_2": "SUITE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935860",
            "telephone_number": "972-596-9200",
            "fax_number": "972-596-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO HEART CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "POONAM",
        "authorized_official_middle_name": "GOYAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-596-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K9006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.