Individual provider Active NPI

Navjot Bajwa, MD

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1487604567
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5790 Issued in TX
Practice address
4900 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2287
Phone
(972) 691-4100
Fax
(972) 691-4118
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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 K5790 TX Primary

Addresses

Primary practice location

4900 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2287

Mailing address

4900 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2287
Phone (972) 691-4100

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
I20101228000437 TX Practitioner - Family Practice 3476568924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Pediatric and Family Physicians PAGroup PAC ID 6204841752, 2 clinicians

Practice addresses (Care Compare)

4900 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2288
Phone (972) 691-4100

Hospital & facility affiliations

  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Navjot Bajwa MD CurrentSince Jul 25, 2010 Accepting new patients
Pediatric & Family Physicians PA Family Medicine CurrentSince Aug 19, 1998 Accepting new patients
Navjot Bajwa MD PA Family Medicine CurrentSince Jul 25, 2010 Accepting new patients

Locations

11751 Alta Vista Rd
Ste 103
Fort Worth, TX 76244
Phone (817) 623-2012

Interoperability endpoints

  • Direct secure messaging: nbajwa459878@direct.sw.org
  • Direct secure messaging: navjot.bajwa@pedfam.eclinicaldirectplus.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 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1487604567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 LONG PRAIRIE RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282287",
            "telephone_number": "972-691-4100",
            "fax_number": "972-691-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 LONG PRAIRIE RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282287",
            "telephone_number": "972-691-4100",
            "fax_number": "972-691-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "NAVJOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.