Individual provider Active NPI

Fiona K. Patel, PA

  • Physician Assistant
  • Prosper, TX
National Provider Identifier
1629484167
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09210 Issued in TX
Practice address
1970 W University Dr Ste 100
Prosper, TX 75078-8134
Phone
(469) 329-7860
NPI assigned
Jul 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09210 TX Primary

Addresses

Primary practice location

1970 W University Dr Ste 100
Prosper, TX 75078-8134

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213

Other practice location 1

505 S Nolen Dr
Suite A
Southlake, TX 76092-9167
Phone (817) 424-1525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141001002505 TX Practitioner - Physician Assistant 3173743721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1970 W University Dr
Suite 100
Prosper, TX 75078-8134
Phone (469) 329-7860

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09210TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Nov 9, 2020 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Jul 22, 2014 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 9, 2020 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2000 Emery St
Denton, TX 76201
Phone (940) 484-4424

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

1970 W University Dr
Ste 100
Prosper, TX 75078
Phone (469) 329-7860

Interoperability endpoints

  • Direct secure messaging: fpatel1663432@direct.texashealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1629484167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2213",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 W UNIVERSITY DR STE 100",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788134",
            "telephone_number": "469-329-7860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S Nolen Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760929167",
            "country_code": "US",
            "telephone_number": "817-424-1525",
            "fax_number": "817-424-3491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "FIONA",
        "middle_name": "K.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-04",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.