Organization Active NPI

Harish Muniswamy MD PA

  • Primary Care Clinic/Center
  • Coppell, TX
National Provider Identifier
1679962583
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
N0300 Issued in TX
Legal business name
HARISH MUNISWAMY MD PA
Practice address
762 Chalais CT
Coppell, TX 75019-4589
Phone
(646) 894-0807
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Harish Muniswamy, MDNPI 1205939337
Title
President & Ceo
Phone
(646) 894-0807

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
Primary Care Clinic/Center 261QP2300X N0300 TX Primary

Addresses

Primary practice location

762 Chalais CT
Coppell, TX 75019-4589

Mailing address

762 Chalais CT
Coppell, TX 75019-4589
Phone (646) 894-0807

Other identifiers 1

IdentifierTypeStateIssuer
N0300OtherTXLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150305000822 TX Part B Supplier - Clinic/Group Practice 2264758424 Receives reassigned benefits from 1 practitioner
Practice locations: Coppell, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1679962583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 CHALAIS CT",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194589",
            "telephone_number": "646-894-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 CHALAIS CT",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194589",
            "telephone_number": "646-894-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARISH MUNISWAMY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "MUNISWAMY",
        "authorized_official_first_name": "HARISH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "646-894-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N0300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "N0300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.