NPIMap

Colorectal Associates of Texas PA

Organization Active NPI Colon & Rectal Surgery Physician · Plano, TX

NPI 1821045675 · NPPES record last updated Aug 8, 2024

Key facts

NPI
1821045675
Entity type
Organization (NPI type 2)
Primary specialty
Colon & Rectal Surgery Physician 208C00000X
Legal business name
COLORECTAL ASSOCIATES OF TEXAS PA
Practice address
1705 Ohio Dr Ste 100
Plano, TX 75093-5256
Phone
(972) 612-0430
Fax
(844) 585-6193
NPI assigned
May 27, 2006
Organization subpart
No

Authorized official

Name
Dr. Said Hashemipour, MD NPI 1851365241
Title
Owner
Phone
(972) 612-0430

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 32

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

View all 32

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0990335Colorectal Associates of Texas
1705 Ohio Drive Suite 100, Plano, TX 75093		ComplianceMay 25, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040402001279 TX Part B Supplier - Clinic/Group Practice 7012909658 Receives reassigned benefits from 23 practitioners
Practice locations: Frisco, TX; Plano, TX

National Provider Directory

Locations

3700 W 15th St
Ste 303C
Plano, TX 75075

4601 Old Shepard Pl
Ste 403
Plano, TX 75093

6124 W Parker Rd
Ste 132
Plano, TX 75093

3900 W 15th St
Ste 303C
Plano, TX 75075

3701 W 15th St
Plano, TX 75075

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16703/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207L00000X H2490 TX
Colon & Rectal Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208C00000X Yes
Certified Registered Nurse Anesthetist
Group: 193200000X MULTI-SPECIALTY GROUP		 367500000X 448077 TX

Addresses

Primary practice location

1705 Ohio Dr Ste 100
Plano, TX 75093-5256

Mailing address

1705 Ohio Dr Ste 100
Plano, TX 75093-5256
Phone (972) 612-0430

Other practice location 1

13136 Dallas Pkwy Ste 530
Frisco, TX 75033-4247
Phone (972) 612-0430

Other identifiers

IdentifierTypeStateIssuer
149902201MedicaidTX
CK2732OtherTXMEDICARE RAILROAD
3330HMOtherTXBCBS
00C71VOtherTXBCBS

Other names

  • COLON AND RECTAL ASSOCIATES OF TEXAS Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 8, 2024.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1821045675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 OHIO DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935256",
            "telephone_number": "972-612-0430",
            "fax_number": "844-585-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 OHIO DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935256",
            "telephone_number": "972-612-0430",
            "fax_number": "844-585-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13136 Dallas Pkwy Ste 530",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750334247",
            "country_code": "US",
            "telephone_number": "972-612-0430",
            "fax_number": "844-585-6193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORECTAL ASSOCIATES OF TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "HASHEMIPOUR",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-612-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H2490",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "448077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149902201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK2732",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3330HM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00C71V",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLON AND RECTAL ASSOCIATES OF TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

All providers in Plano, TX · Colon & Rectal Surgery Physician in Texas

Sources for this page

Verify at the official NPI Registry.