Organization Active NPI

Amerihealth Consultant PLLC

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1457823718
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMERIHEALTH CONSULTANT PLLC
Doing business as
Amerihealth Consultant PLLC
Practice address
255 W Lebanon # 224
Frisco, TX 75036-3411
Phone
(214) 551-7407
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Syed Sameeruddin, M.D.NPI 1740512649
Title
Medical Doctor
Phone
(908) 202-2719

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

255 W Lebanon # 224
Frisco, TX 75036-3411

Mailing address

1014 Sparrow Dr
Murphy, TX 75094-3910
Phone (908) 202-2719

Other identifiers 3

IdentifierTypeStateIssuer
298126ZN1KOtherTXMEDICARE
8FJ036OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
332769403MedicaidTX

Other names 1

  • AMERIHEALTH CONSULTANT PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190213001817 TX Part B Supplier - Clinic/Group Practice 8224376496 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

1200 Jupiter Rd
Unit 941221
Plano, TX 75094

Practitioners & affiliated clinicians

Practitioners 2

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": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1457823718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 SPARROW DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943910",
            "telephone_number": "908-202-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LEBANON # 224",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363411",
            "telephone_number": "214-551-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIHEALTH CONSULTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "SAMEERUDDIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "908-202-2719",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "298126ZN1K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "8FJ036",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332769403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERIHEALTH CONSULTANT PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.