Organization Active NPI

Princeton Medical Associates PLLC

  • Rheumatology Physician
  • McKinney, TX
National Provider Identifier
1427755040
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
PRINCETON MEDICAL ASSOCIATES PLLC
Practice address
4201 Medical Center Dr Ste 240-250
McKinney, TX 75069-1766
Phone
(469) 886-8537
Fax
(469) 930-0197
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Tayyab MalikNPI 1073535092
Title
Owner
Phone
(469) 886-8537

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

4201 Medical Center Dr Ste 240-250
McKinney, TX 75069-1766

Mailing address

2111 Mistletoe Dr
Richardson, TX 75081-3940
Phone (469) 886-8537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230331001229 TX Part B Supplier - Clinic/Group Practice 1355716598 Receives reassigned benefits from 3 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

4201 Medical Center Dr
Ste 240250
McKinney, TX 75069
Phone (469) 886-8537

3900 S Stonebridge Dr
Ste 1203
McKinney, TX 75070
Phone (469) 325-9350

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1427755040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 MISTLETOE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813940",
            "telephone_number": "469-886-8537",
            "fax_number": "469-930-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR STE 240-250",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691766",
            "telephone_number": "469-886-8537",
            "fax_number": "469-930-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "TAYYAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-886-8537"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.