Individual provider Active NPI

Batool Imtiaz, M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1386973782
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N9072 Issued in TX
Practice address
6020 W Parker Rd Ste 350
Plano, TX 75093-8166
Phone
(214) 501-3325
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X N9072 TX
Family Medicine Physician 207Q00000X N9072 TX Primary

Addresses

Primary practice location

6020 W Parker Rd Ste 350
Plano, TX 75093-8166

Mailing address

6548 Crown Forest Dr
Plano, TX 75024-7488
Phone (214) 501-3325

Other identifiers 2

IdentifierTypeStateIssuer
356876801MedicaidTX
356876802MedicaidTX

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
I20230404000187 TX Practitioner - Family Practice 0749425353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6020 W Parker Rd
Suite 350
Plano, TX 75093-8166
Phone (214) 306-7136

Hospital & facility affiliations

  • A&S Home Health Care Home health agency, Richardson, TX, CCN 747089
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Texas Health Center for Diagnostics & Surgery Plan Hospital, Plano, TX, CCN 450891

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perioperative and Transitional Medicine Group PLLC CurrentSince Aug 23, 2023 Accepting new patients
Bnaz LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients

Locations

8220 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 238-3074

6020 W Parker Rd
Ste 350
Plano, TX 75093
Phone (214) 306-7136

1000 18th St
Ste 300
Plano, TX 75074

Interoperability endpoints

  • Direct secure messaging: batool.imtiaz@855823445917700.direct.elationemr.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1386973782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 CROWN FOREST DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247488",
            "telephone_number": "214-501-3325",
            "fax_number": "214-570-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 350",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938166",
            "telephone_number": "214-501-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMTIAZ",
        "first_name": "BATOOL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "N9072",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356876801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356876802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.