NPIMap

Organization Active NPI

Shehzadi Nagra MD PLLC

Doing business as Shehzadi Nagra MD

  • Infectious Disease Physician
  • Wichita Falls, TX
National Provider Identifier
1245666759
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
P4212 Issued in TX
Legal business name
SHEHZADI NAGRA MD PLLC
Doing business as
Shehzadi Nagra MD
Practice address
1601 Brook Ave
Wichita Falls, TX 76301-5619
Phone
(940) 723-9226
Fax
(940) 723-9217
NPI assigned
Sep 17, 2013
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Mrs. Mary Brooking, CMOM,CMIS
Title
Office Manager
Phone
(940) 723-9226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X P4212 TX Primary

Addresses

Primary practice location

1601 Brook Ave
Wichita Falls, TX 76301-5619

Mailing address

1601 Brook Ave
Wichita Falls, TX 76301-5619
Phone (940) 723-9226

Other names 1

  • Shehzadi Nagra MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202000296 TX Part B Supplier - Clinic/Group Practice 3375779002 Receives reassigned benefits from 3 practitioners
Practice locations: Wichita Falls, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Shehzadi Nagra MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1245666759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015619",
            "telephone_number": "940-723-9226",
            "fax_number": "940-723-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015619",
            "telephone_number": "940-723-9226",
            "fax_number": "940-723-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEHZADI NAGRA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "BROOKING",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "940-723-9226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMOM,CMIS"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P4212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shehzadi Nagra MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shehzadi Nagra MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.