Individual provider Active NPI

Heena Peshwani, AU.D

  • Audiologist
  • Plano, TX
National Provider Identifier
1699021527
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80379 Issued in TX
Practice address
4012 W Park Blvd
Plano, TX 75093-3839
Phone
(972) 612-0943
NPI assigned
Jul 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80379 TX Primary

Addresses

Primary practice location

4012 W Park Blvd
Plano, TX 75093-3839

Mailing address

1331 Capstan Dr
Allen, TX 75013-3411
Phone (214) 714-3994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120830000155 TX Practitioner - Qualified Audiologist 6507013398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin Lunde, M.D., P.a.Group PAC ID 9830134584, 3 clinicians

Practice addresses (Care Compare)

4701 W Plano Pkwy
Suite 150
Plano, TX 75093-5385
Phone (972) 985-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80379TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Specialists of North Texas PA CurrentSince Apr 15, 2019 Accepting new patients
Kevin Lunde, M.D., P.a. CurrentSince Aug 13, 2021 Accepting new patients
Sharp Hearing Network LLC PastSince Jan 1, 2008 Accepting new patients

Locations

6300 W Parker Rd
Ste G24
Plano, TX 75093
Phone (972) 378-0633

4701 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (972) 985-3223

Interoperability endpoints

  • Direct secure messaging: heena.peshwani.2@8082.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGDCA
  • Direct secure messaging: heena.peshwani.1@8082.direct.athenahealth.com

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": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699021527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 CAPSTAN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133411",
            "telephone_number": "214-714-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 W PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933839",
            "telephone_number": "972-612-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESHWANI",
        "first_name": "HEENA",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.