Active NPI
Amrita Nagra, D.O.
- Pediatrics Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q5875
- Practice address
- 2350 N Stemmons Fwy Ste F-2400
Dallas, TX 75207-2700 - Phone
- (469) 488-7100
- NPI assigned
- Mar 30, 2012
- Last updated
- May 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q5875 | TX | Primary |
Addresses
Primary practice location
2350 N Stemmons Fwy Ste F-2400
Dallas, TX 75207-2700
Mailing address
570 Rockingham Dr
Irving, TX 75063-8053
Phone (972) 900-3417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q5875 | Other | TX | PEDIATRICS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 N Stemmons Fwy
Dallas, TX 75207-2700
Phone (469) 488-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5875 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Complex Care Medical Services Corporation | Pediatrics | Past | Accepting new patients |
Locations
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
1935 Medical District Dr
#411
Dallas, TX 75235
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
2350 N Stemmons Fwy
Ste F2400
Dallas, TX 75207
Phone (469) 488-7100
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
Interoperability endpoints
- anagra173025@direct.childrens.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1740556042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 ROCKINGHAM DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750638053",
"telephone_number": "972-900-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 N STEMMONS FWY STE F-2400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752072700",
"telephone_number": "469-488-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGRA",
"first_name": "AMRITA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q5875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRICS",
"identifier": "Q5875",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.