Individual provider Active NPI

Pooja K Purswani

  • Allergy & Immunology Physician
  • Garland, TX
National Provider Identifier
1306377858
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
U5210 Issued in TX
Practice address
760 N Shiloh Rd
Garland, TX 75042-5714
Phone
(972) 272-4463
Fax
(972) 272-7137
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X U5210 TX Primary

Addresses

Primary practice location

760 N Shiloh Rd
Garland, TX 75042-5714

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 3

IdentifierTypeStateIssuer
1306377858MedicaidTX
2X0812OtherTXMEDICARE PTAN
2X0813OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803004564 TX Practitioner - Allergy/Immunology 4981070018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Brody School of Medicine at East Carolina University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of Texas IncGroup PAC ID 0244486157, 22 clinicians

Practice addresses (Care Compare)

760 N Shiloh Rd
Garland, TX 75042-5714
Phone (972) 272-4463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of Texas, Inc. Allergy & Immunology CurrentSince Sep 1, 2023 Accepting new patients
Allergy Partners of Texas, Inc Allergy & Immunology CurrentSince Sep 1, 2023 Accepting new patients
Allergy Partners of Texas, Inc. Allergy & Immunology Past Accepting new patients

Locations

3140 Legacy Dr
Ste 120
Frisco, TX 75034
Phone (972) 272-4463

760 N Shiloh Rd
Garland, TX 75042
Phone (972) 272-4463

3242 Preston Rd
Ste 205
Plano, TX 75093
Phone (972) 272-4463

2701 Sunset Ridge Dr
Ste 410
Rockwall, TX 75032
Phone (972) 463-3406

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1306377858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425714",
            "telephone_number": "972-272-4463",
            "fax_number": "972-272-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSWANI",
        "first_name": "POOJA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "U5210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306377858",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2X0812",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2X0813",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.