NPIMap

Organization Active NPI

Navjot Bajwa MD

Doing business as Children Medicaid Clinic

  • Pediatrics Physician
  • Keller, TX
National Provider Identifier
1275826208
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K5790 Issued in TX
Legal business name
NAVJOT BAJWA MD
Doing business as
Children Medicaid Clinic
Practice address
11751 Alta Vista Rd
Suite 103
Keller, TX 76244-6407
Phone
(817) 623-2012
Fax
(817) 623-2009
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Dr. Navjot Bajwa, M.D.NPI 1487604567
Title
Owner
Phone
(972) 691-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K5790 TX Primary

Addresses

Primary practice location

11751 Alta Vista Rd
Suite 103
Keller, TX 76244-6407

Mailing address

11751 Alta Vista Rd
Suite 103
Keller, TX 76244-6407
Phone (817) 623-2012

Other names 1

  • Children Medicaid Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children Medicaid Clinic2 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 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": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1275826208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "address_2": "SUITE 103",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762446407",
            "telephone_number": "817-623-2012",
            "fax_number": "817-623-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "address_2": "SUITE 103",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762446407",
            "telephone_number": "817-623-2012",
            "fax_number": "817-623-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVJOT BAJWA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "NAVJOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-691-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K5790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children Medicaid Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.