Organization Active NPI

Nexus Anesthesia PLLC

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1497244842
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NEXUS ANESTHESIA PLLC
Practice address
2804 Coit Rd Suite 100
Plano, TX 75223
Phone
(972) 316-0902
Fax
(972) 316-1161
NPI assigned
May 1, 2018
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Mr. Reza Mobarak, MDNPI 1013962539
Title
Owner
Phone
(972) 316-0902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2804 Coit Rd Suite 100
Plano, TX 75223

Mailing address

2804 Coit Rd Suite 100
Plano, TX 75223
Phone (972) 316-0902

National Provider Directory

National Provider Directory

Locations

502 N Valley Pkwy
#2
Lewisville, TX 75067
Phone (972) 316-0902

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1497244842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 COIT RD SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75223",
            "telephone_number": "972-316-0902",
            "fax_number": "972-316-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 COIT RD SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75223",
            "telephone_number": "972-316-0902",
            "fax_number": "972-316-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "MOBARAK",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-316-0902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.