Individual provider Active NPI

Khalida N/a Yasmin, M.D.

  • Family Medicine Physician
  • Little Elm, TX
National Provider Identifier
1306842216
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7124 Issued in TX
Practice address
2601 Little Elm Pkwy Ste 1204
Little Elm, TX 75068-1921
Phone
(972) 292-0300
Fax
(972) 292-0301
NPI assigned
Jun 24, 2005
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7124 TX Primary

Addresses

Primary practice location

2601 Little Elm Pkwy Ste 1204
Little Elm, TX 75068-1921

Mailing address

PO Box 261724
Plano, TX 75026-1724
Phone (972) 292-0300

Other identifiers 4

IdentifierTypeStateIssuer
1790362531OtherTXNPI
8W8853OtherTXBCBS
092326030MedicaidTX
1275234437OtherTXNPI

Other names 1

  • Khalida N/a Yasmin Professional name

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
I20070227000564 TX Practitioner - Family Practice 2062487127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2601 Little Elm Pkwy
Suite 1204
Little Elm, TX 75068-1921
Phone (972) 292-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7124TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heal 360 Urgent Care, LLC Family Medicine CurrentSince Jun 25, 2019 Accepting new patients
Premier Wellness Clinics PLLC CurrentSince Jul 1, 2019 Accepting new patients
Southern Endocrinology CurrentSince Sep 9, 2024 Accepting new patients

Locations

2833 Eldorado Pkwy
Ste 307
Frisco, TX 75033
Phone (972) 292-0300

2601 Little Elm Pkwy
Ste 1204
Little Elm, TX 75068
Phone (972) 292-0300

1360 Star Ct
Ste T1
Plano, TX 75074
Phone (972) 200-7402

2806 W FM 544
Wylie, TX 75098

3400 W FM 544
Ste 650B
Wylie, TX 75098
Phone (972) 301-7596

Interoperability endpoints

  • Direct secure messaging: khalida.yasmin@pwc1.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1306842216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261724",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750261724",
            "telephone_number": "972-292-0300",
            "fax_number": "972-292-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 1204",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681921",
            "telephone_number": "972-292-0300",
            "fax_number": "972-292-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASMIN",
        "first_name": "KHALIDA",
        "middle_name": "N/A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790362531",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W8853",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092326030",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275234437",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALIDA",
            "last_name": "YASMIN",
            "middle_name": "N/A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Little Elm, TX

Sources for this page

Verify at the official NPI Registry.