NPIMap

Organization Active NPI

Go Anesthesiology

  • Anesthesiology Physician
  • Frisco, TX
National Provider Identifier
1649768011
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GO ANESTHESIOLOGY
Practice address
11500 State Highway 121 Ste 1010
Frisco, TX 75035-9347
Phone
(972) 219-8400
Fax
(972) 219-5331
NPI assigned
May 1, 2018
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Shamim Justin BadiyanNPI 1871791590
Title
Owner
Phone
(972) 219-8400

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
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

11500 State Highway 121 Ste 1010
Frisco, TX 75035-9347

Mailing address

11500 Highway 121
Ste. 1010
Frisco, TX 75035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406002939 TX Part B Supplier - Clinic/Group Practice 0345679726 Receives reassigned benefits from 13 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

11500 State Highway 121
Ste 1010
Frisco, TX 75035
Phone (214) 807-0445

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1649768011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 HIGHWAY 121",
            "address_2": "STE. 1010",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 1010",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359347",
            "telephone_number": "972-219-8400",
            "fax_number": "972-219-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO ANESTHESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "BADIYAN",
        "authorized_official_first_name": "SHAMIM",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-219-8400"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "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 18, 2021; 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.