Organization Active NPI

Metro ENT, P.a.

  • Otolaryngology Physician
  • Mesquite, TX
National Provider Identifier
1700074747
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M7666 Issued in TX
Legal business name
METRO ENT, P.A.
Practice address
4800 N Galloway Ave
Suite 100
Mesquite, TX 75150
Phone
(214) 404-6409
NPI assigned
Oct 3, 2007
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Geetha Subramanian, MDNPI 1417176629
Title
Physician Owner
Phone
(214) 404-6409

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
Otolaryngology Physician 207Y00000X M7666 TX Primary

Addresses

Primary practice location

4800 N Galloway Ave
Suite 100
Mesquite, TX 75150

Mailing address

4800 N Galloway Ave
Suite 100
Mesquite, TX 75150
Phone (214) 404-6409

Other practice location 1

5308 N Galloway Ave
Suite 201
Mesquite, TX 75150-1176
Phone (972) 991-9950 ext. 247

Other identifiers 2

IdentifierTypeStateIssuer
193137001MedicaidTX
19QWOtherTXBCBS GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000451 TX Part B Supplier - Clinic/Group Practice 4880777150 Receives reassigned benefits from 2 practitioners
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

4800 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (214) 404-6409

5308 N Galloway Ave
Ste 201
Mesquite, TX 75150
Phone (469) 800-3200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4626/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1700074747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N GALLOWAY AVE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "214-404-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N GALLOWAY AVE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "214-404-6409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5308 N Galloway Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751501176",
            "country_code": "US",
            "telephone_number": "972-991-9950 x247",
            "fax_number": "972-991-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METRO ENT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "214-404-6409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M7666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193137001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "19QW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.