Individual provider Active NPI

Nabeel Samir Koro, M.D.

  • Gastroenterology Physician
  • Dallas, TX
National Provider Identifier
1467609362
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R6813 Issued in TX
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

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919001268 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 9234356320 Reassigns benefits to 1 organization

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
MedhealthGroup PAC ID 9931001567, 435 clinicians

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

ProcedureNumber of procedures
Colonoscopy144
Upper gastrointestinal (GI) endoscopy for acid reflux285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36569SCMDPharmacist
R6813TXMDGastroenterology Physician
2008017832MOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jul 1, 2018 Accepting new patients
Medhealth CurrentSince Jul 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.