Organization Active NPI

Dallas Arthritis and Autoimmune Disease Center PLLC

  • Rheumatology Physician
  • Sherman, TX
National Provider Identifier
1356913297
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
DALLAS ARTHRITIS AND AUTOIMMUNE DISEASE CENTER PLLC
Doing business as
ARTHRITIS & AUTOIMMUNITY CLINIC
Practice address
425 N Highland Ave Ste 200
Sherman, TX 75092-7383
Phone
(903) 508-4230
Fax
(903) 553-4388
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Kamran Wasi, ADMIN
Title
Practice Admin
Phone
(732) 523-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

425 N Highland Ave Ste 200
Sherman, TX 75092-7383

Mailing address

425 N Highland Ave Ste 200
Sherman, TX 75092-7383
Phone (090) 350-8423

Other identifiers 1

IdentifierTypeStateIssuer
427204901MedicaidTX

Other names 1

  • ARTHRITIS & AUTOIMMUNITY CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210810004132 TX Part B Supplier - Clinic/Group Practice 3476957689 Receives reassigned benefits from 2 practitioners
Practice locations: Sherman, TX

National Provider Directory

National Provider Directory

Locations

600 E Taylor St
Ste 3011
Sherman, TX 75090
Phone (903) 957-0417

Practitioners & affiliated clinicians

Practitioners 2

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": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1356913297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927383",
            "telephone_number": "090-350-8423",
            "fax_number": "903-553-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927383",
            "telephone_number": "903-508-4230",
            "fax_number": "903-553-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ARTHRITIS AND AUTOIMMUNE DISEASE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "WASI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "732-523-4103",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427204901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARTHRITIS & AUTOIMMUNITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.