Old McDonald Health Care Services PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OLD MCDONALD HEALTH CARE SERVICES PA

Doing business as

Daffodil Primary Care and Cardio-Renal Clinic

Practice address

4300 Punjab Way Ste 160
Frisco, TX 75033-0382

Phone

(469) 649-9968

Fax

(469) 649-9969

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Harish Nuthakki, MD

Title

Owner

Phone

(810) 513-7501

Specialties & licenses 2

Addresses

Other names 1

• Daffodil Primary Care and Cardio-Renal Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jaya D Bathina, MD

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1407086705

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Harishchandra Srinivasakrishna Nuthakki, MD

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1467684951

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Vasanthi Konakanchi, APRN-CNP

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1841979184
  Medicare reassignment NPD

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1437912433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140306",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750140306",
            "telephone_number": "469-649-9968",
            "fax_number": "469-649-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PUNJAB WAY STE 160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330382",
            "telephone_number": "469-649-9968",
            "fax_number": "469-649-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD MCDONALD HEALTH CARE SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "NUTHAKKI",
        "authorized_official_first_name": "HARISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-513-7501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daffodil Primary Care and Cardio-Renal Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daffodil Primary Care and Cardio-Renal Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henrietta Okpagu, PMHNP
• Kathryn Oladapo, PHARMD
• Aishat Olaoye
• Adenike Olateru-Olagbegi
• Michael Olaleye Olatunji, M.D.
• Ellen Oldham, PSY.D
• Olive Counseling, PLLC
• Colt Oliver, DPT
• Elaycia Oliver
• Olivia D. Bercier, PC

• Internal Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.