Vimi Ketan Masters, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09515 Issued in TX

Practice address

1107 S Macarthur Blvd
Irving, TX 75060-3827

Phone

(972) 254-2273

NPI assigned

Jan 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• We Prescribe Inc

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1356959050
  Medicare reassignment NPD
• Carefirst Medical Group

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1699243584
  NPD

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1285023499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OATES LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062696",
            "telephone_number": "817-793-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603827",
            "telephone_number": "972-254-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "VIMI",
        "middle_name": "KETAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amina Mashriqi, RBT
• Jeffrey C Mason, M.D.
• Kennedy Mason, M.A., BCBA, LBA
• Anne Marie Massey
• Dipak Master, O.D.
• Sherry Lynnette Masterson, PA-C
• Aditi Masurkar, MSOT, OTR/L
• Alexandra Katherine Mata, PTA
• Jennifer Garcia Mata, PA-C
• Lejoy Mathew, DPT

• Physician Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.