Organization Active NPI

Cardiology Consultants of North Dallas PA

  • Cardiovascular Disease Physician
  • Garland, TX
National Provider Identifier
1740205541
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY CONSULTANTS OF NORTH DALLAS PA
Practice address
530 Clara Barton Blvd Ste 150
Garland, TX 75042-5752
Phone
(972) 487-1117
Fax
(972) 494-2082
NPI assigned
Jul 13, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Kanti AgrawalNPI 1942285671
Title
Owner
Phone
(972) 487-1117

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
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

530 Clara Barton Blvd Ste 150
Garland, TX 75042-5752

Mailing address

530 Clara Barton Blvd Ste 150
Garland, TX 75042-5752
Phone (972) 487-1117

Other identifiers 2

IdentifierTypeStateIssuer
144781501MedicaidTX
00BW29OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040501000444 TX Part B Supplier - Clinic/Group Practice 6800709692 Receives reassigned benefits from 2 practitioners
Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Locations

530 Clara Barton Blvd
Ste 150
Garland, TX 75042
Phone (972) 272-5458

700 Walter Reed Blvd
Ste 205
Garland, TX 75042
Phone (972) 487-1117

399 W Campbell Rd
Ste 212
Richardson, TX 75080
Phone (972) 234-4994

Practitioners & affiliated clinicians

Practitioners 5

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1740205541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CLARA BARTON BLVD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425752",
            "telephone_number": "972-487-1117",
            "fax_number": "972-494-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CLARA BARTON BLVD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425752",
            "telephone_number": "972-487-1117",
            "fax_number": "972-494-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTANTS OF NORTH DALLAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "KANTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-487-1117"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144781501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00BW29",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.