Organization Active NPI

Kruti Dajee M.D. P.a.

Doing business as Greater Dallas Retina

  • Retina Specialist (Ophthalmology) Physician
  • McKinney, TX
National Provider Identifier
1790316701
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
KRUTI DAJEE M.D. P.A.
Doing business as
Greater Dallas Retina
Practice address
2745 Virginia Pkwy Ste 300
McKinney, TX 75071-4915
Phone
(469) 343-4231
Fax
(469) 466-6120
NPI assigned
Jan 29, 2020
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Dr. Kruti P Dajee, MDNPI 1043506215
Title
President
Phone
(214) 564-6550

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
Retina Specialist (Ophthalmology) Physician 207WX0107X NU Primary

Addresses

Primary practice location

2745 Virginia Pkwy Ste 300
McKinney, TX 75071-4915

Mailing address

2745 Virginia Pkwy Ste 300
McKinney, TX 75071-4915
Phone (214) 564-6550

Other names 1

  • Greater Dallas Retina Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200217003320 TX Part B Supplier - Clinic/Group Practice 3870920606 Receives reassigned benefits from 2 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

1575 Heritage Dr
Ste 202
McKinney, TX 75069
Phone (469) 343-4231

2745 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (469) 343-4231

Interoperability endpoints

  • Direct secure messaging: anair@gdr.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1790316701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 VIRGINIA PKWY STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714915",
            "telephone_number": "214-564-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 VIRGINIA PKWY STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714915",
            "telephone_number": "469-343-4231",
            "fax_number": "469-466-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUTI DAJEE M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "DAJEE",
        "authorized_official_first_name": "KRUTI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-564-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Dallas Retina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater Dallas Retina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.