Individual provider Active NPI

Julia Minigutti, PA

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1487352746
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA16485 Issued in TX
Practice address
8000 Eldorado Pkwy Ste a
McKinney, TX 75070-4136
Phone
(972) 464-2510
Fax
(214) 705-1379
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA16485 TX Primary

Addresses

Primary practice location

8000 Eldorado Pkwy Ste a
McKinney, TX 75070-4136

Mailing address

4280 Main St Ste 200
Frisco, TX 75033-3080
Phone (972) 464-2510

Other practice location 1

4280 Main St Ste 200
Frisco, TX 75033-3080
Phone (972) 464-2510

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328002911 TX Practitioner - Physician Assistant 5092189373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16485TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berg & Minigutti, PLLC Family Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1487352746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333080",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 ELDORADO PKWY STE A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704136",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4280 Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750333080",
            "country_code": "US",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINIGUTTI",
        "first_name": "JULIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA16485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.