Active NPI
Naveen Z Emmanuel, DO
- Pediatrics Physician
- Plano, TX
National Provider Identifier
1306406475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- U4796
- Practice address
- 7601 Preston Rd
Plano, TX 75024-3214 - Phone
- (214) 456-9250
- Fax
- (214) 456-1240
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5151013919 | MI | |
| Pediatrics Physician | 208000000X | U4796 | TX | Primary |
Addresses
Primary practice location
7601 Preston Rd
Plano, TX 75024-3214
Mailing address
7601 Preston Rd
Plano, TX 75024-3214
Phone (214) 456-9250
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Children'S Health System of Texas | Past | Accepting new patients | |
| Complex Care Medical Services Corporation | Pediatrics | Past | Accepting new patients |
Locations
1935 Medical District Dr
#908
Dallas, TX 75235
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
Interoperability endpoints
- nemmanuel614781@direct.childrens.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Children's Hospital
- Plano, TX
- NPI 1720480627
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1306406475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750243214",
"telephone_number": "214-456-9250",
"fax_number": "214-456-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750243214",
"telephone_number": "214-456-9250",
"fax_number": "214-456-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMANUEL",
"first_name": "NAVEEN",
"middle_name": "Z",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5151013919",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U4796",
"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 Jul 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.