Active NPI
Infectious Disease Doctors, PA
- Infectious Disease Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146907401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic Pharmacy
- Bedford, TX
- NPI 1245579143
Locations
3300 Matlock Rd
Arlington, TX 76015
Phone (817) 467-5081
2636 Tibbets Dr
Ste 110
Bedford, TX 76022
Phone (817) 585-0065
2700 Tibbets Dr
Ste 408
Bedford, TX 76022
Phone (817) 545-8895
2636 Tibbets Dr
Ste 100
Bedford, TX 76022
1325 Pennsylvania Ave
Ste 3
Fort Worth, TX 76104
1325 Pennsylvania Ave
Ste 325
Fort Worth, TX 76104
Phone (817) 878-5325
6201 Overton Ridge Blvd
Ft Worth, TX 76132
Phone (817) 222-8325
4708 Alliance Blvd
Ste 610
Plano, TX 75093
Phone (972) 867-9131
3600 Communications Pkwy
Ste 675
Plano, TX 75093
Phone (972) 473-7544
6000 W Spring Creek Pkwy
Plano, TX 75024
6537 Preston Rd
Plano, TX 75024
Phone (972) 484-7700
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1073908356
Infectious Disease, TX
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1104139732
Infectious Disease, TX
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1225317837
Single Specialty, TX
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1336569433
Infectious Disease, TX
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1356787386
Infectious Disease, TX
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": "193400000X SINGLE SPECIALTY 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.