Organization Active NPI

North Texas Cancer Center LP

  • Radiation Oncology Physician
  • Plano, TX
National Provider Identifier
1245358183
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
K2566 Issued in TX
Legal business name
NORTH TEXAS CANCER CENTER LP
Practice address
5948 W Parker Rd Ste 200
Plano, TX 75093-7732
Phone
(972) 378-4114
Fax
(972) 473-7204
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Amir Rana
Title
Director of Operations
Phone
(940) 387-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X K2566 TX Primary

Addresses

Primary practice location

5948 W Parker Rd Ste 200
Plano, TX 75093-7732

Mailing address

5948 W Parker Rd Ste 200
Plano, TX 75093-7732
Phone (972) 378-4114

Other identifiers 1

IdentifierTypeStateIssuer
042994603MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050525000398 TX Part B Supplier - Clinic/Group Practice 7618919127 Receives reassigned benefits from 6 practitioners
Practice locations: McKinney, TX; Plano, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1245358183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 W PARKER RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937732",
            "telephone_number": "972-378-4114",
            "fax_number": "972-473-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 W PARKER RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937732",
            "telephone_number": "972-378-4114",
            "fax_number": "972-473-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS CANCER CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "940-387-8000"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "K2566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042994603",
            "state": "TX"
        }
    ],
    "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 Oct 13, 2023; 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.