North Star NPT LP
Organization Active NPI Radiology Clinic/Center · Plano, TX
NPI 1699387647 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1699387647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- NORTH STAR NPT LP
- Practice address
- 6101 W Plano Pkwy Ste 150
Plano, TX 75093-8201 - Phone
- (972) 649-6460
- NPI assigned
- Aug 20, 2020
- Organization subpart
- No
Authorized official
- Name
- David Wright
- Title
- Manager
- Phone
- (972) 649-6460
Practitioners 185
-
Ali Alian, M.D.
-
Scott A. Bundy, M.D.
-
Luke A Chambless, M.D.
-
Alex T. Chuang, M.D.
-
Thomas Joseph Cornell, M.D.
-
Nicholas J Galante, M.D.
-
Matthew R. Hyde, M.D.
-
Mohammad Taha Ibrahim, D.O.
-
Uday S Kanamalla, MD
-
David Paul Kilgore, M.D.
-
Scott F Lin, MD
-
Lauren Martinez, MD
-
Ashish G Monga, M.D.
-
Frank A Morello, MD
-
Nathan Priddy, M.D.
-
Conor B. Reilly, M.D.
-
Ellis Robertson, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2225330 | North Star NPT, LP | Certificate of waiver | May 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (21 enrollments) in TX, OK, GA, CA, NM, MI, PA, CO, KY, FL, MT, NE, WI, VA, NY, WA, SC, AL, IL, AZ, HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201105000633 | TX | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 113 practitioners Practice locations: Katy, TX; Keller, TX; Mabank, TX; Nacogdoches, TX; Nolanville, TX; Odessa, TX; Pearland, TX; Plano, TX… |
| O20210910001803 | OK | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 13 practitioners Practice locations: Oklahoma City, OK; Nichols Hills, OK; Choctaw, OK; Duncan, OK; Edmond, OK; Norman, OK |
| O20220614000948 | GA | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 3 practitioners Practice locations: Atlanta, GA; Savannah, GA; Canton, GA |
| O20241017001373 | CA | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 6 practitioners Practice locations: Rocklin, CA; San Francisco, CA; San Diego, CA; Poway, CA; Newport Beach, CA; Manhattan Beach, CA; Los Angeles, CA; La Jolla, CA… |
| O20241202002628 | NM | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Cruces, NM |
| O20241205002450 | MI | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Fruitport, MI |
| O20250109001939 | PA | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 4 practitioners Practice locations: Ambler, PA; Orwigsburg, PA; Presto, PA; Swarthmore, PA |
| O20250116001143 | CO | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 8 practitioners Practice locations: Denver, CO; Littleton, CO; Fort Collins, CO; Broomfield, CO; Black Hawk, CO; Avon, CO |
| O20250124001445 | KY | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Nicholasville, KY |
| O20250124001619 | FL | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 7 practitioners Practice locations: Orlando, FL; Weston, FL; Port St Lucie, FL; Palm Beach Gardens, FL; Miami, FL; Fort Myers, FL; Boynton Beach, FL |
| O20250131001609 | MT | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Bozeman, MT |
| O20250131002101 | NE | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbus, NE |
| O20250212000623 | WI | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Menomonee Falls, WI |
| O20250219001284 | VA | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 3 practitioners Practice locations: Norfolk, VA; Virginia Beach, VA |
| O20250221000502 | NY | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 3 practitioners Practice locations: Deer Park, NY; Lagrangeville, NY; New York, NY |
| O20250225003421 | WA | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 2 practitioners Practice locations: White Salmon, WA; Woodinville, WA |
| O20250227002348 | SC | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 8 practitioners Practice locations: Greenville, SC; Simpsonville, SC |
| O20250521000666 | AL | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Daphne, AL |
| O20251125002374 | IL | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Girard, IL |
| O20251125003884 | AZ | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Gilbert, AZ |
| O20251210001174 | HI | Part B Supplier - Clinic/Group Practice | 8426468265 |
Receives reassigned benefits from 1 practitioner Practice locations: Honolulu, HI |
National Provider Directory
Locations
6101 W Plano Pkwy
#G325
Plano, TX 75093
6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
6101 W Plano Pkwy Ste 150
Plano, TX 75093-8201
Mailing address
7600 Windrose Ave Ste G325
Plano, TX 75024-0167
Phone (972) 649-6460
Other names
- North Star Diagnostic Imaging
Other providers in Plano, TX
- North Star Diagnostic Imaging, LLC
- North Star First Assist, PLLC
- North Star MCD LLC
- North Star MCD, LLC
- North Star MCD, LLC
- North Star Nutrition LLC
- North Star Plano Parkway, LP
- North Star Psychiatry PLLC
- North Star Therapy, LLC
- North Texas Advanced Imaging LLC
All providers in Plano, TX · Radiology Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.