Paradigm Neurodiagnostics LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N9264 Issued in TX

Legal business name

PARADIGM NEURODIAGNOSTICS LLC

Practice address

5930 Royal LN Ste E119
Dallas, TX 75230-3849

Phone

(469) 708-6280

NPI assigned

Jul 30, 2015

Last updated

Sep 30, 2021By 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

Dr. Shay Mayya, MDNPI 1366499220

Title

Managing Member

Phone

(517) 862-9343

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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.

• Shay Mayya, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1366499220
  Medicare reassignment NPD Authorized official
• Maria Audrie De Jesus, MD

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1336176387
  Medicare reassignment NPD
• Mohammed A Alhezayen, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1780635599
  NPD
• Kenny Newgene, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1376861906
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1346625456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 ROYAL LN STE E119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303849",
            "telephone_number": "469-708-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ROYAL LN STE E119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303849",
            "telephone_number": "469-708-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM NEURODIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "MAYYA",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "517-862-9343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5324",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Paquette
• Farrah Tasnim Paracha, M.D.
• Emily Brianne Parada, CRNA
• Paradigm Ambulatory Associates, LLC
• Paradigm Anesthesia Associates, PA
• Paradigm Physician Services, LLC
• Paradigm Transitional Care PLLC
• Paradigm West LLC
• Paradise Peace of Mind Home Health Care Services, LLC (Paradise Peace of Mind Assisted Living)
• Paragon Ambulatory Health Resources, LLC

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, 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 Sep 30, 2021; 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.