Active NPI
McKinney Medical Group
- Family Medicine Physician
- McKinney, TX
National Provider Identifier
1558003434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MCKINNEY MEDICAL GROUP
- Practice address
- 5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238 - Phone
- (214) 440-2641
- Fax
- (214) 440-2870
- NPI assigned
- Apr 11, 2022
- Last updated
- Apr 19, 2024
- 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
- Sehrish Khan
- Title
- Operations Head
- Phone
- (214) 440-2641
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238
Mailing address
5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238
Phone (214) 440-2641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Katy, TX
- NPI 1518933811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1558003434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 S LAKE FOREST DR STE 300",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702238",
"telephone_number": "214-440-2641",
"fax_number": "214-440-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 S LAKE FOREST DR STE 300",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702238",
"telephone_number": "214-440-2641",
"fax_number": "214-440-2870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKINNEY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-11",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "SEHRISH",
"authorized_official_title_or_position": "OPERATIONS HEAD",
"authorized_official_telephone_number": "214-440-2641"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
- McKinney Home Health Care LLC (McKinney Home Health Care)
- McKinney Imaging Center General LLC (McKinney Imaging Center)
- McKinney Independent School District
- McKinney Injury Rehab
- McKinney Internal Medicine, PLLC
- McKinney Oncology Pharmacy
- McKinney Open MRI LLC (McKinney Open MRI)
- McKinney Orthodontic Arts (OrthodonTEX McKinney)
- McKinney Pain and Wellness Center, PLLC
- McKinney Pediatrics, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.