NPIMap

Individual provider Active NPI

Faizan Iftikhar, M.D.

  • Specialist
  • McKinney, TX
National Provider Identifier
1417927393
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L8740 Issued in TX
Practice address
2517 Virginia Pkwy
Suite 101
McKinney, TX 75071-5077
Phone
(214) 544-3355
Fax
(972) 547-6250
NPI assigned
Jan 24, 2006
Last updated
Jun 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L8740 TX Primary

Addresses

Primary practice location

2517 Virginia Pkwy
Suite 101
McKinney, TX 75071-5077

Mailing address

PO Box 250709
Plano, TX 75025-0709
Phone (214) 544-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000326 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254301286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2517 Virginia Pkwy
Suite 101
McKinney, TX 75071-5079
Phone (214) 544-3355

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Heart Hospital of the Southwest LLP CurrentSince Nov 1, 2019 Accepting new patients
Complete Heart Care, P.a. CurrentSince Jul 28, 2004 Accepting new patients
Texas Heart Hospital of the Southwest LLC CurrentSince Nov 1, 2019 Accepting new patients
Cardiovascular Consulting Associates, P.C. Past Accepting new patients
Center for Vein Restoration in, LLC Past Accepting new patients

Locations

2517 Virginia Pkwy
Ste 101
McKinney, TX 75071
Phone (214) 544-3355

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest May 14, 2018
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest May 14, 2018
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1417927393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250709",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250709",
            "telephone_number": "214-544-3355",
            "fax_number": "972-547-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 VIRGINIA PKWY",
            "address_2": "SUITE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715077",
            "telephone_number": "214-544-3355",
            "fax_number": "972-547-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFTIKHAR",
        "first_name": "FAIZAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.