Organization Active NPI

Abilene Internist and Associates PA

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1265551402
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ABILENE INTERNIST AND ASSOCIATES PA
Practice address
620 Matlock Center Circle
Arlington, TX 76015-2536
Phone
(817) 860-1400
Fax
(214) 221-5400
NPI assigned
Mar 28, 2007
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Pramesh C Dave, M.D.
Title
Physician Owner
Phone
(817) 860-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

620 Matlock Center Circle
Arlington, TX 76015-2536

Mailing address

620 Matlock Center Circle
Arlington, TX 76015-2536
Phone (817) 860-1400

Other identifiers 2

IdentifierTypeStateIssuer
081248902MedicaidTX
081248901MedicaidTX

Other names 1

  • Pramesh C Dave MD Other name

National Provider Directory

National Provider Directory

Locations

2608 Matlock Rd
Arlington, TX 76015
Phone (817) 277-7175

620 Matlock Centre Cir
Arlington, TX 76015
Phone (814) 460-1234

900 W Randol Mill Rd
Ste 106
Arlington, TX 76012
Phone (817) 860-1400

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1265551402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MATLOCK CENTER CIRCLE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152536",
            "telephone_number": "817-860-1400",
            "fax_number": "214-221-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MATLOCK CENTER CIRCLE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152536",
            "telephone_number": "817-860-1400",
            "fax_number": "214-221-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE INTERNIST AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "PRAMESH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "817-860-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081248902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081248901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pramesh C Dave MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.