Active NPI
Samer M. Nachawati, LLC
- Internal Medicine Physician
- Grand Prairie, TX
National Provider Identifier
1740717545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q9689
- Legal business name
- SAMER M. NACHAWATI, LLC
- Practice address
- 1817 Independence CT
Grand Prairie, TX 75052-1914 - Phone
- (214) 535-7892
- NPI assigned
- May 11, 2017
- 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. Samer Nachawati, D.O.
- Title
- Member
- Phone
- (214) 535-7892
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q9689 | TX | Primary |
Addresses
Primary practice location
1817 Independence CT
Grand Prairie, TX 75052-1914
Mailing address
1817 Independence CT
Grand Prairie, TX 75052-1914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
929 N Galloway Ave
Ste 102
Mesquite, TX 75149
Phone (972) 329-8200
3330 N Galloway Ave
Ste 304
Mesquite, TX 75150
Phone (214) 875-3695
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mesquite, TX
- NPI 1073652806
-
- Geriatric Medicine (Family Medicine) Physician
- Waxahachie, TX
- NPI 1245453166
-
- Internal Medicine Physician
- Plano, TX
- NPI 1114969300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1740717545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 INDEPENDENCE CT",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750521914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 INDEPENDENCE CT",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750521914",
"telephone_number": "214-535-7892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMER M. NACHAWATI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "NACHAWATI",
"authorized_official_first_name": "SAMER",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "214-535-7892",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q9689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.