NPIMap

Organization Active NPI

Infectious Disease Doctors, PA

  • Infectious Disease Physician
  • Plano, TX
National Provider Identifier
1811083702
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE DOCTORS, PA
Practice address
6537 Preston Rd
Plano, TX 75024-2610
Phone
(972) 484-7700
Fax
(469) 729-6743
NPI assigned
Oct 5, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Evelyn Ayala
Title
Office Manager
Phone
(972) 484-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X Primary

Addresses

Primary practice location

6537 Preston Rd
Plano, TX 75024-2610

Mailing address

PO Box 802772
Dallas, TX 75380-2772
Phone (972) 484-7700

Other practice location 1

1325 Pennsylvania Ave Ste 350
Ft Worth, TX 76104-2172
Phone (817) 887-9389

Other practice location 2

2636 Tibbets Dr Ste 110
Bedford, TX 76022-6919
Phone (817) 858-0065

Other identifiers 1

IdentifierTypeStateIssuer
146907401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615001800 TX Part B Supplier - Clinic/Group Practice 1557345774 Receives reassigned benefits from 19 practitioners

National Provider Directory

National Provider Directory
Tax ID family
Id Doctors Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2636 Tibbets Dr
Ste 100
Bedford, TX 76022

2636 Tibbets Dr
Ste 110
Bedford, TX 76022
Phone (817) 585-0065

1 Medical Pkwy
Ste 210
Dallas, TX 75234
Phone (972) 484-7100

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

1325 Pennsylvania Ave
Ste 3
Fort Worth, TX 76104

1325 Pennsylvania Ave
Ste 325
Fort Worth, TX 76104
Phone (817) 878-5325

425 Alabama Ave
Ft Worth, TX 76104
Phone (817) 820-3400

2016 FM 407
Ste 360
Lewisville, TX 75077
Phone (972) 966-2525

4708 Alliance Blvd
Ste 610
Plano, TX 75093
Phone (214) 739-1200

4708 Alliance Blvd
Ste 610
Plano, TX 75093
Phone (972) 867-9131

6000 W Spring Creek Pkwy
Plano, TX 75024

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1811083702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802772",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753802772",
            "telephone_number": "972-484-7700",
            "fax_number": "972-484-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6537 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242610",
            "telephone_number": "972-484-7700",
            "fax_number": "469-729-6743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Pennsylvania Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761042172",
            "country_code": "US",
            "telephone_number": "817-887-9389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2636 Tibbets Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226919",
            "country_code": "US",
            "telephone_number": "817-858-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE DOCTORS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-484-7700"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146907401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.