Organization Active NPI

Urban Id Physician, PLLC

  • Infectious Disease Physician
  • Garland, TX
National Provider Identifier
1750817326
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
URBAN ID PHYSICIAN, PLLC
Practice address
5435 N Garland Ave Ste 140
Garland, TX 75040-2787
Phone
(888) 212-4243
NPI assigned
May 2, 2017
Last updated
May 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Dr. Sohail Ahmed, M.D.NPI 1104866045
Title
Physician
Phone
(888) 212-4243

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

5435 N Garland Ave Ste 140
Garland, TX 75040-2787

Mailing address

5435 N Garland Ave Ste 140
Garland, TX 75040-2787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170714000542 TX Part B Supplier - Clinic/Group Practice 9638449267 Receives reassigned benefits from 1 practitioner
Practice locations: Rowlett, TX; Dallas, TX; Rockwall, TX

National Provider Directory

National Provider Directory

Locations

117 Gemini Cir
Ste 404
Homewood, AL 35209

221 W Colorado Blvd
Dallas, TX 75208
Phone (214) 941-7200

5435 N Garland Ave
Ste 140
Garland, TX 75040
Phone (469) 774-6501

6701 Heritage Pkwy
Ste 160
Rockwall, TX 75087
Phone (662) 934-2788

7501 Lakeview Pkwy
Ste 240
Rowlett, TX 75088
Phone (661) 262-7479

Practitioners & affiliated clinicians

Practitioners 1

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": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1750817326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 N GARLAND AVE STE 140",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 N GARLAND AVE STE 140",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402787",
            "telephone_number": "888-212-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN ID PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "888-212-4243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 2, 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.

Verify at the official NPI Registry.