Organization Active NPI

American Neurospine Institute PLLC

  • Neurological Surgery Physician
  • Frisco, TX
National Provider Identifier
1639682966
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
AMERICAN NEUROSPINE INSTITUTE PLLC
Practice address
13136 Dallas Pkwy Ste 540a
Frisco, TX 75033-4247
Phone
(972) 806-1188
Fax
(888) 843-8304
NPI assigned
Nov 8, 2017
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Dr. Ripul Rajen Panchal, DONPI 1245400167
Title
Physician
Phone
(630) 865-5425

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
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

13136 Dallas Pkwy Ste 540a
Frisco, TX 75033-4247

Mailing address

13136 Dallas Pkwy Ste 540a
Frisco, TX 75033-4247
Phone (972) 806-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180323000863 TX Part B Supplier - Clinic/Group Practice 7113289521 Receives reassigned benefits from 3 practitioners
Practice locations: Frisco, TX
O20200624003481 TX DME Supplier - Physician - Neurosurgery 7113289521 Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

13136 Dallas Pkwy
#540A
Frisco, TX 75033

13136 Dallas Pkwy
Ste 540A
Frisco, TX 75033
Phone (972) 806-1188

Practitioners & affiliated clinicians

Practitioners 4

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": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1639682966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13136 DALLAS PKWY STE 540A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334247",
            "telephone_number": "972-806-1188",
            "fax_number": "888-843-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13136 DALLAS PKWY STE 540A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334247",
            "telephone_number": "972-806-1188",
            "fax_number": "888-843-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN NEUROSPINE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "RIPUL",
        "authorized_official_middle_name": "RAJEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-865-5425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.