Organization Active NPI

McKinney Medical Group

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1558003434
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20220429000365 TX Part B Supplier - Clinic/Group Practice 0749677334 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.