Individual provider Active NPI

Naureen Imtiaz Agha, MD

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1366527855
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M9777 Issued in TX
Practice address
6130 W Parker Rd
Ste 512
Plano, TX 75093-8031
Phone
(972) 312-9169
Fax
(972) 312-9178
NPI assigned
Oct 25, 2006
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.27677 AL
Internal Medicine Physician 207R00000X M9777 TX Primary

Addresses

Primary practice location

6130 W Parker Rd
Ste 512
Plano, TX 75093-8031

Mailing address

3908 Wood Lake Dr
Plano, TX 75093-7580
Phone (972) 800-1380

Other identifiers 3

IdentifierTypeStateIssuer
207681203MedicaidTX
207681201MedicaidTX
207681202MedicaidTX

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
I20091112000549 TX Practitioner - Internal Medicine 4284772120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3242 Preston Rd
Suite 203
Plano, TX 75093-3317
Phone (972) 312-9169

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.27677ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naureen I. Agha, M.D. PLLC Internal Medicine CurrentSince Aug 5, 2018 Accepting new patients
Lakeview Cardiology of Texas PLLC PastSince Aug 5, 2018 Accepting new patients

Locations

3242 Preston Rd
Ste 203
Plano, TX 75093
Phone (972) 312-9169

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJCGBD/Endpoint/DJCGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHJICD
  • Direct secure messaging: naureen.agha@nia.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1366527855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 WOOD LAKE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937580",
            "telephone_number": "972-800-1380",
            "fax_number": "972-312-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD",
            "address_2": "STE 512",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938031",
            "telephone_number": "972-312-9169",
            "fax_number": "972-312-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHA",
        "first_name": "NAUREEN",
        "middle_name": "IMTIAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.27677",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207681203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207681201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207681202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.