Individual provider Active NPI

Kismat Hirani

  • Primary Care Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1376019745
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
643960 Issued in TX
Practice address
9229 Lebanon Rd
Frisco, TX 75035-6065
Phone
(469) 300-0929
Fax
(722) 180-5549
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 643960 TX Primary

Addresses

Primary practice location

9229 Lebanon Rd
Frisco, TX 75035-6065

Mailing address

9229 Lebanon Rd
Frisco, TX 75035-6065
Phone (469) 300-0929

Other practice location 1

203 Crepe Myrtle Dr
Euless, TX 76039-4131
Phone (817) 683-4620

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
I20221201000024 TX Practitioner - Nurse Practitioner 3971971672 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urgent Care 360 PLLCGroup PAC ID 1456798669, 2 clinicians
Primecaretx PLLCGroup PAC ID 9537512579, 5 clinicians

Practice addresses (Care Compare)

9229 Lebanon Rd
Frisco, TX 75035-6065
Phone (469) 789-2595

940 W Stacy Rd
Suite 110
Allen, TX 75013-5215
Phone (214) 547-0700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
643960TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primecaretx PLLC CurrentSince Jan 7, 2024 Accepting new patients
Urgent Care 360 PLLC CurrentSince Apr 3, 2024 Accepting new patients
Heal 360 Primary Care PLLC CurrentSince Aug 19, 2022 Accepting new patients
Heal 360 Urgent Care, LLC CurrentSince Aug 19, 2022 Accepting new patients

Locations

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

9229 Lebanon Rd
Frisco, TX 75035
Phone (469) 300-0929

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

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

2806 W FM 544
Wylie, TX 75098

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGDDD/Endpoint/IAGDDD

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1376019745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 LEBANON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356065",
            "telephone_number": "469-300-0929",
            "fax_number": "972-218-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 LEBANON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356065",
            "telephone_number": "469-300-0929",
            "fax_number": "722-180-5549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Crepe Myrtle Dr",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760394131",
            "country_code": "US",
            "telephone_number": "817-683-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRANI",
        "first_name": "KISMAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "643960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.