Advanced Family Medical Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MDL1628 Issued in TX

Legal business name

ADVANCED FAMILY MEDICAL CARE PA

Practice address

4002 W Park Blvd
Plano, TX 75093-3839

Phone

(972) 985-8000

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Ahtaram KhanNPI 1336258003

Title

Owner

Phone

(972) 985-8000

Specialties & licenses 1

Addresses

Other identifiers 3

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/CCGGBA

Practitioners 2

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

• Ahtaram M Khan, MD

  • Family Medicine Physician
  • Plano, TX
  • NPI 1336258003
  Medicare reassignment NPD Authorized official
• Amber Lalani

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1932980067
  NPD

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1508047416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262129",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750262129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 W PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933839",
            "telephone_number": "972-985-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY MEDICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AHTARAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-985-8000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "MDL1628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B - RAIL ROAD",
            "identifier": "DB0572",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0051HA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157608401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advance Wound Care & Hyperbaric Specialists of Texas
• Advanced Behavioral Care LLC
• Advanced Cancer Care
• Advanced Chiropractic Neurology Center, P.C.
• Advanced Comprehensive Medical Center PA
• Advanced Fracture Care Solutions PLLC
• Advanced Implant Dentistry PLLC
• Advanced Kidney Care of North Texas, P.L.L.C.
• Advanced Kidney Care PLLC
• Advanced Medical Enterprises

• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.