Individual provider Active NPI

Sobia Lodhi

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1740803329
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15166 Issued in TX
Practice address
14650 Landmark Blvd Apt 1116
Dallas, TX 75254-6764
Phone
(512) 516-9941
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA15166 TX Primary

Addresses

Primary practice location

14650 Landmark Blvd Apt 1116
Dallas, TX 75254-6764

Mailing address

14650 Landmark Blvd Apt 1116
Dallas, TX 75254-6764
Phone (512) 516-9941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220301000980 TX Practitioner - Physician Assistant 9032503420 Reassigns benefits to 2 organizations
I20250124001625 FL Practitioner - Physician Assistant 9032503420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Evolve Psychiatry MD, Inc.Group PAC ID 7810384005, 6 clinicians

Practice addresses (Care Compare)

5300 Town and Country Blvd
Suite 240
Frisco, TX 75034-6894
Phone (469) 833-3360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15166TXMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1740803329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 LANDMARK BLVD APT 1116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546764",
            "telephone_number": "512-516-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 LANDMARK BLVD APT 1116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546764",
            "telephone_number": "512-516-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODHI",
        "first_name": "SOBIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.