NPIMap

Organization Active NPI

Ng100M, P.C.

  • Psychiatry Physician
  • McKinney, TX
National Provider Identifier
1609599554
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NG100M, P.C.
Practice address
2730 Virginia Pkwy # 200a
McKinney, TX 75071-5088
Phone
(800) 975-3859
Fax
(800) 975-3859
NPI assigned
Sep 26, 2022
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Momin Zafarullah, CRNANPI 1316386055
Title
Directer of Operations
Phone
(210) 862-4199

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

2730 Virginia Pkwy # 200a
McKinney, TX 75071-5088

Mailing address

2730 Virginia Pkwy # 200a
McKinney, TX 75071-5088
Phone (800) 975-3859

Other practice location 1

4961 Long Prairie Rd Ste 110
Flower Mound, TX 75028-2794
Phone (800) 975-3859

Other practice location 2

3100 N Tarrant Pkwy Ste 104
Fort Worth, TX 76177-8616
Phone (800) 975-3859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230414001814 TX Part B Supplier - Clinic/Group Practice 8022483510 Receives reassigned benefits from 6 practitioners
Practice locations: Flower Mound, TX; McKinney, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

4927 Byers Ave
Ste 214
Fort Worth, TX 76107
Phone (800) 975-3859

2730 Virginia Pkwy
#200A
McKinney, TX 75071
Phone (800) 975-3859

2730 Virginia Pkwy
Ste 200A
McKinney, TX 75071

Practitioners & affiliated clinicians

Practitioners 11

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": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1609599554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 VIRGINIA PKWY # 200A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715088",
            "telephone_number": "800-975-3859",
            "fax_number": "800-975-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 VIRGINIA PKWY # 200A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715088",
            "telephone_number": "800-975-3859",
            "fax_number": "800-975-3859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4961 Long Prairie Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750282794",
            "country_code": "US",
            "telephone_number": "800-975-3859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 N Tarrant Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778616",
            "country_code": "US",
            "telephone_number": "800-975-3859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NG100M, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "ZAFARULLAH",
        "authorized_official_first_name": "MOMIN",
        "authorized_official_title_or_position": "DIRECTER OF OPERATIONS",
        "authorized_official_telephone_number": "210-862-4199",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Oct 22, 2025; 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.