Individual provider Active NPI

Isaac Zinovy Pugach, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1255412409
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4454 Issued in TX
Practice address
660 N Central Expy Ste 640
Plano, TX 75074-6856
Phone
(972) 792-7777
Fax
(469) 969-0090
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M4454 TX Primary

Addresses

Primary practice location

660 N Central Expy Ste 640
Plano, TX 75074-6856

Mailing address

660 N Central Expy Ste 640
Plano, TX 75074-6856
Phone (972) 792-7777

Other names 1

  • Zinovy Pugach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070327000484 TX Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 5193617322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Texas Medical Branch at Galveston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

660 N Central Expy
Plano, TX 75074-6856
Phone (972) 792-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Z Pugach MD PLLC CurrentSince May 14, 2007 Accepting new patients

Locations

8989 Forest Ln
Ste 146
Dallas, TX 75243
Phone (972) 792-7777

660 N Central Expy
Ste 640
Plano, TX 75074
Phone (972) 792-7777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1255412409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N CENTRAL EXPY STE 640",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746856",
            "telephone_number": "972-792-7777",
            "fax_number": "469-969-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N CENTRAL EXPY STE 640",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746856",
            "telephone_number": "972-792-7777",
            "fax_number": "469-969-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGACH",
        "first_name": "ISAAC",
        "middle_name": "ZINOVY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZINOVY",
            "last_name": "PUGACH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.