NPIMap

Organization Active NPI

Idocsweb LLC

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1386273787
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IDOCSWEB LLC
Practice address
5700 Granite Pkwy Ste 200
Plano, TX 75024-6623
Phone
(636) 221-2740
NPI assigned
Apr 7, 2020
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Dr. Anton Lyubomirov Georgiev, DONPI 1841412145
Title
Cmo
Phone
(636) 221-2740

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

5700 Granite Pkwy Ste 200
Plano, TX 75024-6623

Mailing address

5700 Granite Pkwy Ste 200
Plano, TX 75024-6623

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.idocsweb.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200909001844 LA Part B Supplier - Clinic/Group Practice 5092137679 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA
O20200909002718 TX Part B Supplier - Clinic/Group Practice 5092137679 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1386273787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 GRANITE PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 GRANITE PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246623",
            "telephone_number": "636-221-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDOCSWEB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "GEORGIEV",
        "authorized_official_first_name": "ANTON",
        "authorized_official_middle_name": "LYUBOMIROV",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "636-221-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.idocsweb.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5700 Granite Pkwy Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750246623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.