North Texas Id PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

NORTH TEXAS ID PA

Practice address

5350 Independence Pkwy Ste 120
Frisco, TX 75035-4637

Phone

(214) 396-8877

Fax

(214) 983-0983

NPI assigned

Nov 19, 2016

Last updated

Nov 19, 2016By 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

Dhiraj Kotwal, MDNPI 1205918851

Title

Physician

Phone

(214) 396-8877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 5

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.

• Dhiraj Kumar Kotwal, MD

  • Infectious Disease Physician
  • Frisco, TX
  • NPI 1205918851
  Medicare reassignment NPD Authorized official
• Minimol George, FNP

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1609417997

  Single Specialty

  Medicare reassignment NPD
• Tariq J Hendawi

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1518439819
  Medicare reassignment NPD
• Nithin Thomas Koshy, FNP

  • Family Nurse Practitioner
  • Carrollton, TX
  • NPI 1538782883
  Medicare reassignment NPD
• Anees N Basha, PA

  • Physician Assistant
  • Frisco, TX
  • NPI 1396016077
  Medicare reassignment

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

{
    "created_epoch": "1479513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479513600000",
    "number": "1255874475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 INDEPENDENCE PKWY STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 INDEPENDENCE PKWY STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354637",
            "telephone_number": "214-396-8877",
            "fax_number": "214-983-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS ID PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-19",
        "last_updated": "2016-11-19",
        "status": "A",
        "authorized_official_last_name": "KOTWAL",
        "authorized_official_first_name": "DHIRAJ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-396-8877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Star MRI of Frisco LP
• North Texas Acute Treatment & Infusion Center
• North Texas Adolescent and Young Adult Psychology, PLLC
• North Texas Cosmetic Surgery, LLC
• North Texas Endocrinology and Diabetes Center, P.a.
• North Texas Kidney Disease Associates
• North Texas Medical Clinic, PLLC
• North Texas Perinatal Associates, P.a.
• North Texas Precision Pain Care, P.a.
• North Texas Regenerative Medicine Center

• Infectious Disease Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; 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.