Abilene Internal Medicine Associates, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L1049 Issued in TX

Legal business name

ABILENE INTERNAL MEDICINE ASSOCIATES, PLLC

Practice address

6200 Regional PLZ
Suite 1450
Abilene, TX 79606-5250

Phone

(325) 795-9288

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian R Ganesh, M.D.NPI 1316946841

Title

Owner/Physician

Phone

(325) 795-9288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Brian R. Ganesh, M.D.

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1316946841
  Medicare reassignment NPD Authorized official
• Jennifer Kwan Culajara, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Abilene, TX
  • NPI 1174294565
  Medicare reassignment NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1487034120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 REGIONAL PLZ",
            "address_2": "SUITE 1450",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065250",
            "telephone_number": "325-795-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 REGIONAL PLZ",
            "address_2": "SUITE 1450",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065250",
            "telephone_number": "325-795-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE INTERNAL MEDICINE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "GANESH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "325-795-9288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abilene Hemat Onco GRP
• Abilene Home Health Professional Care, Inc.
• Abilene Imaging Center LLC
• Abilene Independent Schiool District
• Abilene Infectious Diseases PA
• Abilene Isd
• Abilene Isd
• Abilene Isd
• Abilene Kidney Clinic, P.a.
• Abilene Lung Physicians, P.a.

• Internal Medicine Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.