Active NPI
S Iyer PA
- Pulmonary Disease Physician
- Denton, TX
National Provider Identifier
1700117355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- S IYER PA
- Practice address
- 802 North Bonnie Brae Street
Suite 104
Denton, TX 76201-2301 - Phone
- (940) 565-0373
- Fax
- (940) 565-0413
- NPI assigned
- Jan 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sridhar K Iyer, MD
- Title
- MD/Owner
- Phone
- (940) 565-0373
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
802 North Bonnie Brae Street
Suite 104
Denton, TX 76201-2301
Mailing address
PO Box 50658
Denton, TX 76206-0658
Phone (940) 565-0373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213642601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
802 N Bonnie Brae St
Ste 104
Denton, TX 76201
Phone (469) 645-1155
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Denton, TX
- NPI 1043299712
Critical Care Medicine
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1538529797
-
- Acute Care Nurse Practitioner
- Dallas, TX
- NPI 1366844987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459123200000",
"number": "1700117355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50658",
"city": "DENTON",
"state": "TX",
"postal_code": "762060658",
"telephone_number": "940-565-0373",
"fax_number": "940-565-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 NORTH BONNIE BRAE STREET",
"address_2": "SUITE 104",
"city": "DENTON",
"state": "TX",
"postal_code": "762012301",
"telephone_number": "940-565-0373",
"fax_number": "940-565-0413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S IYER PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-21",
"last_updated": "2016-03-28",
"status": "A",
"authorized_official_last_name": "IYER",
"authorized_official_first_name": "SRIDHAR",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "940-565-0373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213642601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.