Organization Active NPI

H Meda MD PA

Doing business as Adi Medical Clinic

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1619146479
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
H MEDA MD PA
Doing business as
Adi Medical Clinic
Practice address
4508 Legacy Dr
Ste 400
Plano, TX 75024-2188
Phone
(214) 778-2390
Fax
(214) 778-2394
NPI assigned
Feb 26, 2008
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Harinineeraja Meda, MDNPI 1215987326
Title
Physician
Phone
(214) 778-2390

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X TX Primary

Addresses

Primary practice location

4508 Legacy Dr
Ste 400
Plano, TX 75024-2188

Mailing address

4508 Legacy Dr
Ste 400
Plano, TX 75024-2188
Phone (214) 778-2390

Other identifiers 1

IdentifierTypeStateIssuer
0065RHOtherTXGROUP BCBS

Other names 1

  • ADI MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000031 TX Part B Supplier - Clinic/Group Practice 1456409598 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

1400 N Coit Rd
Ste 2202
McKinney, TX 75071
Phone (214) 778-2390

4508 Legacy Dr
Ste 400
Plano, TX 75024
Phone (214) 778-2390

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1619146479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 LEGACY DR",
            "address_2": "STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242188",
            "telephone_number": "214-778-2390",
            "fax_number": "214-778-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 LEGACY DR",
            "address_2": "STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242188",
            "telephone_number": "214-778-2390",
            "fax_number": "214-778-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H MEDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "MEDA",
        "authorized_official_first_name": "HARININEERAJA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-778-2390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "0065RH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADI MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.