Active NPI
Community Infectious Diseases, P.a.
- Infectious Disease Physician
- Mesquite, TX
National Provider Identifier
1497832091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- L7527
- Legal business name
- COMMUNITY INFECTIOUS DISEASES, P.A.
- Practice address
- 929 N Galloway Ave
Ste. # 220
Mesquite, TX 75149-2476 - Phone
- (214) 660-2533
- Fax
- (972) 744-0132
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdul Qavi
- Title
- Owner
- Phone
- (214) 660-2533
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | L7527 | TX | Primary |
Addresses
Primary practice location
929 N Galloway Ave
Ste. # 220
Mesquite, TX 75149-2476
Mailing address
PO Box 852756
Mesquite, TX 75185-2756
Phone (214) 660-2533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163525201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040415000805 | TX | Part B Supplier - Clinic/Group Practice | 0244225795 |
Receives reassigned benefits from 1 practitioner Practice locations: Mesquite, TX |
National Provider Directory
National Provider DirectoryLocations
1024 N Galloway Ave
Mesquite, TX 75149
Phone (972) 216-2300
1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1497832091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 852756",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751852756",
"telephone_number": "214-660-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N GALLOWAY AVE",
"address_2": "STE. # 220",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492476",
"telephone_number": "214-660-2533",
"fax_number": "972-744-0132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY INFECTIOUS DISEASES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "QAVI",
"authorized_official_first_name": "ABDUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-660-2533"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "L7527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163525201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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- Community Awareness Center
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- Complete Surgery Mesquite LLC
- Comprehensive Pediatric Care
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.