Active NPI
Nabeel Samir Koro, M.D.
- Gastroenterology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R6813
- Practice address
- 3450 W Wheatland Rd Ste 240
Dallas, TX 75237-4419 - Phone
- (214) 948-8856
- Fax
- (214) 948-5516
- NPI assigned
- Aug 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 36569 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2008017832 | MO | |
| Gastroenterology Physician | 207RG0100X | R6813 | TX | Primary |
Addresses
Primary practice location
3450 W Wheatland Rd Ste 240
Dallas, TX 75237-4419
Mailing address
3450 W Wheatland Rd Ste 240
Dallas, TX 75237-4419
Phone (214) 948-8856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3450 W Wheatland Rd
Suite 340
Dallas, TX 75237-4411
Phone (972) 709-9300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 144 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36569 | SC | MD | Pharmacist |
| R6813 | TX | MD | Gastroenterology Physician |
| 2008017832 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
3450 W Wheatland Rd
Ste 240
Dallas, TX 75237
Phone (214) 946-8856
3450 W Wheatland Rd
Ste 245
Dallas, TX 75237
Phone (214) 943-1171
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
3450 W Wheatland Rd
Ste 340
Dallas, TX 75237
Phone (214) 941-4243
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- nkoro90331@dm.mhd.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1467609362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 W WHEATLAND RD STE 240",
"city": "DALLAS",
"state": "TX",
"postal_code": "752374419",
"telephone_number": "214-948-8856",
"fax_number": "214-948-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 W WHEATLAND RD STE 240",
"city": "DALLAS",
"state": "TX",
"postal_code": "752374419",
"telephone_number": "214-948-8856",
"fax_number": "214-948-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORO",
"first_name": "NABEEL",
"middle_name": "SAMIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "SC",
"license": "36569",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2008017832",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "R6813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.