Organization Active NPI

Horizon Diagnostic Services, Inc

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1265038889
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HORIZON DIAGNOSTIC SERVICES, INC
Practice address
9319 LBJ Fwy Ste 112
Dallas, TX 75243-3440
Phone
(877) 933-9729
NPI assigned
Dec 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Mohammed Ali Rafiq
Title
Owner
Phone
(214) 984-0993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9319 LBJ Fwy Ste 112
Dallas, TX 75243-3440

Mailing address

13988 Diplomat Dr
Farmers Branch, TX 75234-8807

Other names 1

  • Horizon Health Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL FAXOREMAIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210416000382 TX Part B Supplier - Clinic/Group Practice 2163830225 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, 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
Horizon Diagnostic Services Inc2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1265038889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13988 DIPLOMAT DR",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9319 LBJ FWY STE 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433440",
            "telephone_number": "877-933-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-10-29",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-984-0993"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FAXOREMAIL",
            "affiliation": "N",
            "address_1": "9319 Lbj Fwy Ste 112",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752433440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Horizon Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.