Organization Active NPI

Plano Med Clinic PLLC

Doing business as AdvanceMed Clinic of Plano

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1467208991
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PLANO MED CLINIC PLLC
Doing business as
AdvanceMed Clinic of Plano
Practice address
4701 W Plano Pkwy Ste 100
Plano, TX 75093-5384
Phone
(469) 649-9898
NPI assigned
Apr 25, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Bindu Balachandran Nair, MDNPI 1427042597
Title
Medical Director
Phone
(469) 649-9898

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4701 W Plano Pkwy Ste 100
Plano, TX 75093-5384

Mailing address

4701 W Plano Pkwy Ste 100
Plano, TX 75093-5384

Other names 1

  • AdvanceMed Clinic of Plano Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240805000098 TX Part B Supplier - Clinic/Group Practice 9436696788 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2308761Plano Med Clinic PLLC4701 W Plano Pkwy Ste 100, Plano, TX 75093Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Locations

4701 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 649-9898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1467208991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935384",
            "telephone_number": "469-649-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO MED CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "BINDU",
        "authorized_official_middle_name": "BALACHANDRAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "469-649-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdvanceMed Clinic of Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

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