Organization Active NPI

North Texas Movement Disorders Institute, Inc

  • Neurology Physician
  • Flower Mound, TX
National Provider Identifier
1689985038
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L2694 Issued in TX
Legal business name
NORTH TEXAS MOVEMENT DISORDERS INSTITUTE, INC
Practice address
4931 Long Prairie Rd Ste 100
Flower Mound, TX 75028-2787
Phone
(817) 886-0369
Fax
(817) 268-9011
NPI assigned
Jun 30, 2010
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Madhavi Thomas, MDNPI 1558337238
Title
President
Phone
(817) 886-0369

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
Neurology Physician 2084N0400X L2694 TX Primary

Addresses

Primary practice location

4931 Long Prairie Rd Ste 100
Flower Mound, TX 75028-2787

Mailing address

621 Palo Duro Dr
Hurst, TX 76054-6009
Phone (817) 886-0369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101229000111 TX Part B Supplier - Clinic/Group Practice 8527256957 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX; Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

2004 Bedford Rd
Ste 100
Bedford, TX 76021
Phone (214) 432-7549

4001 Airport Fwy
Ste 130
Bedford, TX 76021
Phone (817) 886-0369

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEJFBA

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": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1689985038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PALO DURO DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546009",
            "telephone_number": "817-886-0369",
            "fax_number": "817-268-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 LONG PRAIRIE RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282787",
            "telephone_number": "817-886-0369",
            "fax_number": "817-268-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS MOVEMENT DISORDERS INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-886-0369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.