NPIMap

Organization Active NPI

Care Well TX PLLC

  • General Practice Physician
  • Plano, TX
National Provider Identifier
1407354780
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CARE WELL TX PLLC
Practice address
4740 14TH St Ste T1
Plano, TX 75074-7318
Phone
(469) 931-5731
NPI assigned
Jan 31, 2018
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Mohammed S Ur Rehman, MDNPI 1477683886
Title
Medical Director
Phone
(479) 420-5742

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

4740 14TH St Ste T1
Plano, TX 75074-7318

Mailing address

4740 14TH St Ste T1
Plano, TX 75074-7318
Phone (469) 931-5731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180326002254 TX Part B Supplier - Clinic/Group Practice 3375805641 Receives reassigned benefits from 23 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

1360 Star Ct
Ste 313
Plano, TX 75074

1360 Star Ct
Ste 323
Plano, TX 75074
Phone (217) 714-7574

4740 14th St
Ste T1
Plano, TX 75074
Phone (469) 931-5731

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1407354780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 14TH ST STE T1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747318",
            "telephone_number": "469-931-5731",
            "fax_number": "469-533-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 14TH ST STE T1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747318",
            "telephone_number": "469-931-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE WELL TX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "UR REHMAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "479-420-5742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 5, 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.