NPIMap

Organization Active NPI

Evergreen Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
National Provider Identifier
1720451248
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M6355 Issued in TX
Legal business name
EVERGREEN ANESTHESIA PLLC
Practice address
811 S Central Expy Ste 103
Richardson, TX 75080-7439
Phone
(972) 636-5727
NPI assigned
Nov 5, 2015
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Haroon Rasheed, M.DNPI 1285639096
Title
Owner
Phone
(972) 636-5727

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
Anesthesiology Physician 207L00000X M6355 TX Primary

Addresses

Primary practice location

811 S Central Expy Ste 103
Richardson, TX 75080-7439

Mailing address

811 S Central Expy Ste 103
Richardson, TX 75080-7439
Phone (972) 636-5727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170303000553 TX Part B Supplier - Clinic/Group Practice 2769766187 Receives reassigned benefits from 9 practitioners
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1720451248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S CENTRAL EXPY STE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807439",
            "telephone_number": "972-636-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S CENTRAL EXPY STE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807439",
            "telephone_number": "972-636-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "RASHEED",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-636-5727",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M6355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.