Individual provider Active NPI

Megan Jane Conoley, M.D.

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1689611485
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L6459 Issued in TX
Practice address
6750 N Macarthur Blvd Ste 350
Irving, TX 75039-2484
Phone
(972) 556-1616
Fax
(972) 556-1740
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L6459 TX
Internal Medicine Physician 207R00000X L6459 TX Primary

Addresses

Primary practice location

6750 N Macarthur Blvd Ste 350
Irving, TX 75039-2484

Mailing address

6750 N Macarthur Blvd Ste 350
Irving, TX 75039-2484
Phone (972) 556-1616

Other identifiers 3

IdentifierTypeStateIssuer
161202001MedicaidTX
161202003MedicaidTX
161202002MedicaidTX

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
I20050509001071 TX Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5496714669 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6459TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Sep 1, 2003 Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Sep 1, 2003 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

6750 N MacArthur Blvd
Ste 150
Irving, TX 75039
Phone (972) 373-0303

6750 N MacArthur Blvd
Ste 350
Irving, TX 75039
Phone (972) 556-1616

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1689611485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 N MACARTHUR BLVD STE 350",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392484",
            "telephone_number": "972-556-1616",
            "fax_number": "972-556-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N MACARTHUR BLVD STE 350",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392484",
            "telephone_number": "972-556-1616",
            "fax_number": "972-556-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOLEY",
        "first_name": "MEGAN",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6459",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L6459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161202001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161202003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161202002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.