Organization Active NPI

Ksaleh LLC

  • Internal Medicine Physician
  • McKinney, TX
National Provider Identifier
1285249706
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KSALEH LLC
Practice address
4201 Medical Center Dr Ste 200
McKinney, TX 75069-1769
Phone
(214) 934-9267
Fax
(469) 930-0197
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Sadia Aziz, OFFICE MANGER
Title
Office Manager
Phone
(214) 934-9267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4201 Medical Center Dr Ste 200
McKinney, TX 75069-1769

Mailing address

720 Frisco Hills Blvd
Little Elm, TX 75068-5297

Other identifiers 1

IdentifierTypeStateIssuer
414950201MedicaidTX

Other names 1

  • Greenville Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4201 Medical Center Dr
McKinney, TX 75069
Phone (214) 537-0703

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1285249706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 FRISCO HILLS BLVD",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691769",
            "telephone_number": "214-934-9267",
            "fax_number": "469-930-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSALEH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-11-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-934-9267",
        "authorized_official_credential": "OFFICE MANGER"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414950201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenville Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.