Organization Active NPI

Community Infectious Diseases, P.a.

  • Infectious Disease Physician
  • Mesquite, TX
National Provider Identifier
1497832091
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
L7527 Issued in TX
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

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Abdul QaviNPI 1780655779
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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
163525201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000805 TX Part B Supplier - Clinic/Group Practice 0244225795 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

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": []
}

Other providers in Mesquite, TX

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.

Verify at the official NPI Registry.