Organization Active NPI

Munira Dudhbhai,MD. PLLC

  • Obstetrics & Gynecology Physician
  • Lewisville, TX
National Provider Identifier
1376979146
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MUNIRA DUDHBHAI,MD. PLLC
Practice address
560 W Main St Ste 107
Lewisville, TX 75057-3665
Phone
(972) 956-8008
Fax
(972) 956-8015
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Munira Dudhbhai, MDNPI 1922064724
Title
Manager
Phone
(702) 875-2748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

560 W Main St Ste 107
Lewisville, TX 75057-3665

Mailing address

560 W Main St
Suite 107
Lewisville, TX 75057-3628
Phone (702) 875-2748

Other identifiers 1

IdentifierTypeStateIssuer
325789101MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140205001294 TX Part B Supplier - Clinic/Group Practice 1557590957 Receives reassigned benefits from 2 practitioners
Practice locations: Lewisville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2067149Munira Dudhbhai MD PLLC560 W Main Street , Suite 107, Lewisville, TX 75057Certificate of waiverOct 8, 2027

National Provider Directory

National Provider Directory

Locations

560 W Main St
Ste 107
Lewisville, TX 75057
Phone (972) 420-9200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7872/brand/1/csg/1/fhir/r4

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": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1376979146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST",
            "address_2": "SUITE 107",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573628",
            "telephone_number": "702-875-2748",
            "fax_number": "214-272-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST STE 107",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573665",
            "telephone_number": "972-956-8008",
            "fax_number": "972-956-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNIRA DUDHBHAI,MD. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DUDHBHAI",
        "authorized_official_first_name": "MUNIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-875-2748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325789101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.