Heart Health Center of North Texas PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J9129 Issued in TX

Legal business name

HEART HEALTH CENTER OF NORTH TEXAS PA

Practice address

1600 Republic Pkwy Ste 100
Mesquite, TX 75150-6919

Phone

(972) 270-7005

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Nasrullah Khan, MDNPI 1578527727

Title

Owner

Phone

(972) 270-7005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Mohammad N Khan, MD

  • Cardiovascular Disease Physician
  • Mesquite, TX
  • NPI 1578527727
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1558514737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 REPUBLIC PKWY STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506919",
            "telephone_number": "972-270-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 REPUBLIC PKWY STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506919",
            "telephone_number": "972-270-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART HEALTH CENTER OF NORTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "NASRULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-270-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J9129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035954905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.