Organization Active NPI

Progressive Health Family Medicine

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1811204357
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7246 Issued in TX
Legal business name
PROGRESSIVE HEALTH FAMILY MEDICINE
Practice address
8901 Virginia Pkwy
Suite 700
McKinney, TX 75071-5701
Phone
(972) 369-1871
Fax
(972) 369-1872
NPI assigned
Sep 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Dr. Hema Haridas, MDNPI 1265578165
Title
Director
Phone
(479) 719-6553

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M7246 TX Primary

Addresses

Primary practice location

8901 Virginia Pkwy
Suite 700
McKinney, TX 75071-5701

Mailing address

8901 Virginia Pkwy
Suite 700
McKinney, TX 75071-5701
Phone (972) 369-1871

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110110000582 TX Part B Supplier - Clinic/Group Practice 1850580655 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

78 Regency Pkwy
Mansfield, TX 76063

8901 Virginia Pkwy
Ste 700
McKinney, TX 75071
Phone (972) 369-1871

1780 W Virginia St
Ste 200
McKinney, TX 75069
Phone (972) 369-1871

1780 W Virginia St
Ste 445
McKinney, TX 75069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1811204357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 VIRGINIA PKWY",
            "address_2": "SUITE 700",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715701",
            "telephone_number": "972-369-1871",
            "fax_number": "972-369-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 VIRGINIA PKWY",
            "address_2": "SUITE 700",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715701",
            "telephone_number": "972-369-1871",
            "fax_number": "972-369-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTH FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "HARIDAS",
        "authorized_official_first_name": "HEMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-719-6553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 3, 2010; 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.