Individual provider Active NPI

Bushra Abbasi, MD

  • Internal Medicine Physician
  • Carrollton, TX
National Provider Identifier
1467642009
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q1546 Issued in TX
Practice address
4333 N Josey LN
Plaza II Suite 101
Carrollton, TX 75010-4629
Phone
(972) 492-1010
NPI assigned
Jul 30, 2007
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-6568 AR
Internal Medicine Physician 207R00000X Q1546 TX Primary

Addresses

Primary practice location

4333 N Josey LN
Plaza II Suite 101
Carrollton, TX 75010-4629

Mailing address

4333 N Josey LN
Plaza II Suite 101
Carrollton, TX 75010-4629
Phone (972) 492-1010

Other identifiers 3

IdentifierTypeStateIssuer
185962001MedicaidAR
200311200AOtherAROK MEDICAID
3497093-01MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address babbasi222611@direct.sw.org

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
I20150826000716 TX Practitioner - Internal Medicine 3072707082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550

4001 Worth St
Dallas, TX 75246-1608

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6568ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 29, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 29, 2015 Accepting new patients
Kentucky Medical Services Foundation, Inc Internal Medicine Current Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Canopusmd, PLLC Internal Medicine CurrentSince Dec 12, 2017 Accepting new patients
Apogee Medical Group, Arkansas, PA Internal Medicine Past Accepting new patients
Baylor Scott & White Medical Center - Centennial Past Accepting new patients

Locations

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

4333 N Josey Ln
Ste 101
Carrollton, TX 75010
Phone (972) 492-6300

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

12505 Lebanon Rd
Ste 1442
Frisco, TX 75035
Phone (972) 963-3550

5055 W Park Blvd
Ste 400
Plano, TX 75093
Phone (901) 826-7075

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1467642009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "PLAZA II SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-492-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "PLAZA II SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-492-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASI",
        "first_name": "BUSHRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-6568",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q1546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185962001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICAID",
            "identifier": "200311200A",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3497093-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "babbasi222611@direct.sw.org",
            "affiliation": "N",
            "address_1": "12505 Lebanon Rd Ste 1442",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750358298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.