Pavan Bang, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

S4722 Issued in TX

Practice address

1872 N Lake Forest Dr
McKinney, TX 75071-7665

Phone

(972) 548-0758

NPI assigned

Mar 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbang216321@cookchildrens.direct-ci.com
• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cook Children'S Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1750369203
  Medicare reassignment NPD
• Capital Health Multispecialty Group

  • Surgery Physician
  • Trenton, NJ
  • NPI 1083072342
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Primary Care PC

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538

  Pediatrics

  Medicare reassignment NPD
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1033210323
  Medicare reassignment NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806
  Medicare reassignment NPD
• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Pediatrics

  Medicare reassignment NPD
• Cook Children'S Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1083472062
  NPD
• Newark Beth Israel Medical Center Inc

  • Psychiatric Hospital Unit
  • Newark, NJ
  • NPI 1043457955
  NPD
• Meridian Medical Group - Specialty Care, PC

  • Family Medicine Physician
  • Edgewater, NJ
  • NPI 1275362105

  Pediatrics

  NPD (past)
• Metuchen Pediatric Associates

  • Pediatrics Physician
  • Metuchen, NJ
  • NPI 1316111347
  NPD (past)
• South Alabama Pediatrics

  • Pediatrics Physician
  • Opp, AL
  • NPI 1366567190
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1629430798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 N LAKE FOREST DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717665",
            "telephone_number": "972-548-0758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Amboy Ave",
            "address_purpose": "LOCATION",
            "city": "Metuchen",
            "state": "NJ",
            "postal_code": "088402410",
            "country_code": "US",
            "telephone_number": "732-549-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANG",
        "first_name": "PAVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10676300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S4722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbang216321@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1872 N Lake Forest Dr",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750717665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zanab Bolanle Balogun, NP
• Bilqis Balolia
• Mariam Bana
• Naushad Pyarali Banani, DPM
• Deepthi Reddy Bandi, P.T
• Diane Bankhead, RD, LD
• Ashley Elizabeth Banks, PA-C
• Lela Banks, RN
• Tracey A Banks, MD
• Bannon Dialysis, LLC

• Pediatrics Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.