Individual provider Active NPI

Neelam Rajendra Pingle, NP-C

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1366117327
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1064484 Issued in TX
Practice address
940 W Stacy Rd Ste 110
Allen, TX 75013-5215
Phone
(214) 453-0568
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1064484 TX Primary

Addresses

Primary practice location

940 W Stacy Rd Ste 110
Allen, TX 75013-5215

Mailing address

14328 New Braunfels Dr
Frisco, TX 75035-5384
Phone (248) 808-4380

Other practice location 1

6124 W Parker Rd Ste 234
Plano, TX 75093-8124
Phone (972) 468-9999

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL heal360.com/location/tx/allen Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117000513 TX Practitioner - Nurse Practitioner 9537537824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of Plano PAGroup PAC ID 0143395343, 26 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Plano, TX 75093-8124
Phone (972) 981-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1064484TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arash Tirandaz MD PA Current Accepting new patients
Heal 360 Urgent Care, LLC CurrentSince Aug 14, 2022 Accepting new patients
Internal Medicine Associates of Plano PA CurrentSince Mar 13, 2023 Accepting new patients
Heal 360 Primary Care PLLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

940 W Stacy Rd
Ste 110
Allen, TX 75013
Phone (214) 547-0700

255 W Lebanon
Ste 208
Frisco, TX 75036
Phone (469) 898-8869

1360 Star Ct
Ste T1
Plano, TX 75074
Phone (972) 200-7402

6124 W Parker Rd
Ste 234
Plano, TX 75093
Phone (972) 468-9999

4013 14th St
Ste 401
Plano, TX 75074
Phone (469) 814-9523

6124 W Parker Rd
Ste 230
Plano, TX 75093
Phone (972) 398-0393

2806 W FM 544
Wylie, TX 75098

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICDEAA
  • Direct secure messaging: neelam.pingle@imapmd.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1366117327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14328 NEW BRAUNFELS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355384",
            "telephone_number": "248-808-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W STACY RD STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135215",
            "telephone_number": "214-453-0568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6124 W Parker Rd Ste 234",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938124",
            "country_code": "US",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINGLE",
        "first_name": "NEELAM",
        "middle_name": "RAJENDRA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1064484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heal360.com/location/tx/allen",
            "affiliation": "N",
            "endpointDescription": "Heal360 primary care",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "940 W Stacy Rd Ste 110",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750135215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.