Plano Primary Care Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K4055 Issued in TX

Legal business name

PLANO PRIMARY CARE CLINIC PA

Practice address

4101 W Spring Creek Pkwy
Suite 300
Plano, TX 75024-5307

Phone

(972) 398-8161

Fax

(972) 398-8121

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Muhammad Moin Farooqi, M.D.NPI 1093896938

Title

Medical Doctor

Phone

(972) 398-8161

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJEBCD

Practitioners 1

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

• Muhammad Moin Farooqi, M.D.

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1093896938
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1528249992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W SPRING CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245307",
            "telephone_number": "972-398-8161",
            "fax_number": "972-398-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W SPRING CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245307",
            "telephone_number": "972-398-8161",
            "fax_number": "972-398-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO PRIMARY CARE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "FAROOQI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "MOIN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "972-398-8161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00675N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0028EE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080985701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plano Orthodontics
• Plano Orthopedic & Sports Medicine Center, PA
• Plano Orthopedic and Sports Medicine Center, PLLC
• Plano Pediatrics PA
• Plano Physical Medicine & Rehab
• Plano Professional Associates PLLC
• Plano Psychiatric, P.a. (Robert J Harden, M.D.)
• Plano Radiology Center LTD
• Plano Skilled Operations, LLC (Life Care Center of Plano)
• Plano Sleep Center, LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.