Organization Active NPI

Alliance Post Acute Associates LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Richardson, TX
National Provider Identifier
1588066856
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
K8375 Issued in TX
Legal business name
ALLIANCE POST ACUTE ASSOCIATES LLC
Practice address
4016 Nicole Dr
Richardson, TX 75082-3768
Phone
(214) 797-6149
Fax
(972) 437-1853
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Neeta Nayak, M.D.NPI 1407887425
Title
President
Phone
(214) 797-6149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X K8375 TX Primary

Addresses

Primary practice location

4016 Nicole Dr
Richardson, TX 75082-3768

Mailing address

4016 Nicole Dr
Richardson, TX 75082-3768
Phone (214) 797-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203002224 TX Part B Supplier - Clinic/Group Practice 6002138997 Receives reassigned benefits from 6 practitioners
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

2625 Belt Line Rd
Garland, TX 75044
Phone (972) 543-7700

3617 O Hare Dr
Mesquite, TX 75150
Phone (972) 226-0810

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1588066856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 NICOLE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823768",
            "telephone_number": "214-797-6149",
            "fax_number": "972-437-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 NICOLE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823768",
            "telephone_number": "214-797-6149",
            "fax_number": "972-437-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE POST ACUTE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "NEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-797-6149",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K8375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.