Organization Active NPI

Kohinoor Medical Associates PA

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Kyle, TX
National Provider Identifier
1790007284
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
KOHINOOR MEDICAL ASSOCIATES PA
Practice address
1180 Seton Pkwy
Suite 300
Kyle, TX 78640-6178
Phone
(512) 551-0846
Fax
(512) 828-8785
NPI assigned
Feb 24, 2010
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Dr. Rani Das, MDNPI 1235165788
Title
Director
Phone
(989) 493-9128

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Technician 2472E0500X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Internal Medicine Physician 207R00000X NU
EEG Specialist/Technologist 246ZE0500X NU
Sleep Medicine (Family Medicine) Physician 207QS1201X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU Primary

Addresses

Primary practice location

1180 Seton Pkwy
Suite 300
Kyle, TX 78640-6178

Mailing address

1700 Randolph Ridge TRL
Austin, TX 78746-7395
Phone (512) 535-2286

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000570 TX Part B Supplier - Clinic/Group Practice 4284811969 Receives reassigned benefits from 3 practitioners
Practice locations: West Lake Hills, TX; Kyle, TX

National Provider Directory

National Provider Directory

Locations

1550 Dacy Ln
Kyle, TX 78640
Phone (512) 551-0846

4407 Bee Caves Rd
Ste 301
West Lake Hills, TX 78746
Phone (512) 443-3436

Practitioners & affiliated clinicians

Practitioners 3

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": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1790007284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RANDOLPH RIDGE TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467395",
            "telephone_number": "512-535-2286",
            "fax_number": "512-535-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY",
            "address_2": "SUITE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406178",
            "telephone_number": "512-551-0846",
            "fax_number": "512-828-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHINOOR MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "RANI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-493-9128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.