Individual provider Active NPI

Priti Ranjan, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1356579247
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4102 Issued in TX
Practice address
4920 McDermott Rd Ste 200
Plano, TX 75024-7769
Phone
(972) 200-5666
Fax
(469) 250-5460
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 P4102 TX Primary

Addresses

Primary practice location

4920 McDermott Rd Ste 200
Plano, TX 75024-7769

Mailing address

4920 McDermott Rd Ste 200
Plano, TX 75024-7769
Phone (972) 200-5666

Other practice location 1

4040 McDermott Rd
Ste # 100
Plano, TX 75024-7734
Phone (972) 668-6868

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
I20140505000783 TX Practitioner - Family Practice 7517190218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4920 McDermott Rd
Suite 200
Plano, TX 75024-7769
Phone (972) 200-5666

Hospital & facility affiliations

  • North Texas Home Health Care Inc Home health agency, Plano, TX, CCN 747851
  • Medical City Plano Hospital, Plano, TX, CCN 450651

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4102TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nghi B Phan MD, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: priti.ranjan@nfm1.eclinicaldirectplus.com
  • Direct secure messaging: pranjan460042@direct.sw.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBGBD/Endpoint/HFBGBD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1356579247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 MCDERMOTT RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247769",
            "telephone_number": "972-200-5666",
            "fax_number": "469-250-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 MCDERMOTT RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247769",
            "telephone_number": "972-200-5666",
            "fax_number": "469-250-5460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 McDermott Rd",
            "address_2": "Ste # 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750247734",
            "country_code": "US",
            "telephone_number": "972-668-6868",
            "fax_number": "972-668-1618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANJAN",
        "first_name": "PRITI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.