MD Request PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MD REQUEST PLLC

Practice address

4645 Avon LN Ste 200
Frisco, TX 75033-1559

Phone

(469) 430-5850

Fax

(877) 722-7085

NPI assigned

Nov 20, 2012

Last updated

Mar 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Pastorek, MDNPI 1265400634

Title

President/Owner

Phone

(469) 430-5850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Pastorek, MD

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1265400634
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1316281975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331559",
            "telephone_number": "469-430-5850",
            "fax_number": "877-722-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331559",
            "telephone_number": "469-430-5850",
            "fax_number": "877-722-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD REQUEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "PASTOREK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "469-430-5850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley McNutt, RNFA
• Mark Allan McQuaid, MD FACS
• McTeggart Counseling Services
• Deirdre Ann McTeggart-Diaz, LPC
• MD on Call PA
• Kelsey Elizabeth Meade, M.S., CCC-SLP
• Rebecca Meador, RBT
• Angelie Meas
• Mech Mental Health Innovations PA
• Arnold W Mech, M.D.

• Internal Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.