Organization Active NPI

S L Aronoff MD PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Richardson, TX
National Provider Identifier
1407232812
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D9348 Issued in TX
Legal business name
S L ARONOFF MD PLLC
Practice address
2400 Lakeside Blvd
Ste 130
Richardson, TX 75082-4341
Phone
(214) 774-4475
NPI assigned
Aug 7, 2015
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Tammy Gravitt
Title
Office Manager
Phone
(214) 774-4475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D9348 TX Primary

Addresses

Primary practice location

2400 Lakeside Blvd
Ste 130
Richardson, TX 75082-4341

Mailing address

2400 Lakeside Blvd
Ste 130
Richardson, TX 75082-4341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151118000888 TX Part B Supplier - Clinic/Group Practice 5698075901 Receives reassigned benefits from 2 practitioners
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

2400 Lakeside Blvd
Ste 130
Richardson, TX 75082
Phone (214) 774-4475

Practitioners & affiliated clinicians

Practitioners 2

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": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1407232812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAKESIDE BLVD",
            "address_2": "STE 130",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKESIDE BLVD",
            "address_2": "STE 130",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824341",
            "telephone_number": "214-774-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S L ARONOFF MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "GRAVITT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-774-4475"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "D9348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.