Promed Health PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROMED HEALTH PLLC

Practice address

11691 Independence Pkwy Ste 110
Frisco, TX 75035-4719

Phone

(945) 221-6442

Fax

(945) 221-6442

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Kavitha Ilayaraja, MDNPI 1114546306

Title

Managing Owner

Phone

(214) 347-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAAJDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kavitha Ilayaraja, MD

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1114546306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1487471967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11691 INDEPENDENCE PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354719",
            "telephone_number": "945-221-6442",
            "fax_number": "945-221-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11691 INDEPENDENCE PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354719",
            "telephone_number": "945-221-6442",
            "fax_number": "945-221-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "ILAYARAJA",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "214-347-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Frisco, TX
• Providers in Frisco, 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 Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.