Prosper Rheumatology PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

PROSPER RHEUMATOLOGY PLLC

Practice address

4645 Avon LN Ste 215
Frisco, TX 75033-1614

Phone

(469) 666-0165

Fax

(608) 305-8760

NPI assigned

Dec 6, 2020

Organization subpart

No

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

Authorized official

Name

Hiranda Dodanwala, MDNPI 1104180496

Title

Owner

Phone

(469) 666-0165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hiranda S.K. Dodanwala, M.D.

  • Rheumatology Physician
  • Hershey, PA
  • NPI 1104180496

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607212800000",
    "number": "1427654441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 215",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331614",
            "telephone_number": "469-666-0165",
            "fax_number": "608-305-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 215",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331614",
            "telephone_number": "469-666-0165",
            "fax_number": "608-305-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER RHEUMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "DODANWALA",
        "authorized_official_first_name": "HIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-666-0165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prohealth Rehab & Wellness LLC
• Prohealth Studio Family Practice & Pediatrics PLLC
• Promarket Transportation Inc
• Promed Health PLLC
• Pronto PRN, LLC
• Protix Laboratory and Medical Group
• Jocelyn Prudente
• Chloe Prudore
• Callie Pruitt-Culligan
• Debra Lynn Pruitt, LPC

• Rheumatology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.