NPIMap

Individual provider Active NPI

Paulina Thanawala, D.O.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1740669746
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7613 Issued in TX
Practice address
4001 W 15TH St Ste 245
Plano, TX 75093-5839
Phone
(972) 596-5222
Fax
(972) 596-5291
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7613 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4001 W 15TH St Ste 245
Plano, TX 75093-5839

Mailing address

4001 W 15TH St Ste 245
Plano, TX 75093-5839
Phone (972) 596-5222

Other identifiers 1

IdentifierTypeStateIssuer
392050601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181031001542 TX Practitioner - Family Practice 1153674676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4001 W 15TH St
245 Usmd Plano W
Plano, TX 75093-5839
Phone (972) 596-5222

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

9255 Dallas Pkwy
Suite 110
Frisco, TX 75033-4211
Phone (972) 377-1490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R7613TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Nov 26, 2018 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Nov 26, 2018 Accepting new patients

Locations

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

9255 Dallas Pkwy
Ste 110
Frisco, TX 75033
Phone (972) 377-1490

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • Direct secure messaging: paulina.thanawala@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1740669746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 245",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935839",
            "telephone_number": "972-596-5222",
            "fax_number": "972-596-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 245",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935839",
            "telephone_number": "972-596-5222",
            "fax_number": "972-596-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANAWALA",
        "first_name": "PAULINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7613",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392050601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.