Organization Active NPI

Chesed Medical

  • Internal Medicine Physician
  • Richardson, TX
National Provider Identifier
1295575702
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHESED MEDICAL
Practice address
399 W Campbell Rd Ste 303
Richardson, TX 75080-3620
Phone
(214) 422-0814
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Deborah Morris-Harris, MDNPI 1477537843
Title
Doctor
Phone
(212) 422-0814

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

399 W Campbell Rd Ste 303
Richardson, TX 75080-3620

Mailing address

399 W Campbell Rd Ste 303
Richardson, TX 75080-3620
Phone (214) 422-0814

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240722000278 TX Part B Supplier - Clinic/Group Practice 8426594953 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

5501 Independence Pkwy
Ste 102
Plano, TX 75023
Phone (469) 873-8500

399 W Campbell Rd
Ste 303
Richardson, TX 75080
Phone (469) 941-4546

Practitioners & affiliated clinicians

Practitioners 1

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": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1295575702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD STE 303",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803620",
            "telephone_number": "214-422-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD STE 303",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803620",
            "telephone_number": "214-422-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESED MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "MORRIS-HARRIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-422-0814",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.