Individual provider Active NPI

Mahmood B Panjwani, M.D.

  • Internal Medicine Physician
  • Carrollton, TX
National Provider Identifier
1679571079
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J6200 Issued in TX
Practice address
3740 N Josey LN
Suite 206
Carrollton, TX 75007-2474
Phone
(214) 731-0031
Fax
(214) 731-0065
NPI assigned
Jul 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J6200 TX Primary

Addresses

Primary practice location

3740 N Josey LN
Suite 206
Carrollton, TX 75007-2474

Mailing address

3740 N Josey LN
Suite 206
Carrollton, TX 75007-2474
Phone (214) 731-0031

Other identifiers 2

IdentifierTypeStateIssuer
8H1850OtherTXBCBS TX
131082307MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120413000670 TX Practitioner - Internal Medicine 6608803606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3740 N Josey LN
Suite 206
Carrollton, TX 75007-2472
Phone (214) 731-0031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mahmood B. Panjwani MD PA Internal Medicine Current Accepting new patients
Farida Valliani MD P a Internal Medicine Current Accepting new patients
Mahmood B. Panjwani M.D, P.a. Internal Medicine CurrentSince Feb 1, 2003 Accepting new patients
Apex Clinic of Texas Inc. PastSince Nov 4, 2011 Accepting new patients

Locations

3740 N Josey Ln
Ste 206
Carrollton, TX 75007
Phone (214) 731-0031

Organizations & group practices 4

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": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1679571079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN",
            "address_2": "SUITE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072474",
            "telephone_number": "214-731-0031",
            "fax_number": "214-731-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN",
            "address_2": "SUITE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072474",
            "telephone_number": "214-731-0031",
            "fax_number": "214-731-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANJWANI",
        "first_name": "MAHMOOD",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8H1850",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131082307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.