Organization Active NPI

Janna Massar MD PA

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1306072335
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6484 Issued in TX
Legal business name
JANNA MASSAR MD PA
Practice address
2208 Dallas Pkwy
Suite 325C1
Plano, TX 75093-4359
Phone
(972) 403-7555
Fax
(972) 403-9199
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Janna Massar, MDNPI 1972516961
Title
President
Phone
(972) 403-7555

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 K6484 TX Primary

Addresses

Primary practice location

2208 Dallas Pkwy
Suite 325C1
Plano, TX 75093-4359

Mailing address

2208 Dallas Pkwy
Suite 325C1
Plano, TX 75093-4359
Phone (972) 403-7555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120716000145 TX Part B Supplier - Clinic/Group Practice 9537325733 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2028740Janna Massar MD2208 Dallas Parkway , Suite 325 C-1, Plano, TX 75093Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

Locations

2208 Dallas Pkwy
Ste 325C1
Plano, TX 75093
Phone (972) 403-7555

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": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1306072335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 DALLAS PKWY",
            "address_2": "SUITE 325C1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934359",
            "telephone_number": "972-403-7555",
            "fax_number": "972-403-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 DALLAS PKWY",
            "address_2": "SUITE 325C1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934359",
            "telephone_number": "972-403-7555",
            "fax_number": "972-403-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNA MASSAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "MASSAR",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-403-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.