Organization Active NPI

Medical Group of North Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1326317702
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1567 Issued in TX
Legal business name
MEDICAL GROUP OF NORTH TEXAS, PA
Practice address
9330 Poppy Drive
Suite 203
Dallas, TX 75214-3336
Phone
(214) 324-6770
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Dr. Farah Masood, MDNPI 1447403563
Title
President
Phone
(972) 268-2315

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: 193200000X MULTI-SPECIALTY GROUP 207R00000X P1567 TX Primary

Addresses

Primary practice location

9330 Poppy Drive
Suite 203
Dallas, TX 75214-3336

Mailing address

PO Box 12171
Dallas, TX 75225
Phone (214) 324-6770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000578 TX Part B Supplier - Clinic/Group Practice 8426219791 Receives reassigned benefits from 3 practitioners
Practice locations: Sunnyvale, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1326317702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12171",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75225",
            "telephone_number": "214-324-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DRIVE",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143336",
            "telephone_number": "214-324-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF NORTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-268-2315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.