Individual provider Active NPI

Todd Bradley Guinn, MD

  • Diagnostic Radiology Physician
  • McKinney, TX
National Provider Identifier
1851359525
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J3110 Issued in TX
Practice address
4500 Medical Center Dr
McKinney, TX 75069
Phone
(972) 540-4300
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J3110 TX Primary

Addresses

Primary practice location

4500 Medical Center Dr
McKinney, TX 75069

Mailing address

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093-5215
Phone (972) 867-7862

Other identifiers 2

IdentifierTypeStateIssuer
104797904MedicaidTX
84122ROtherTXCOLLIN COUNTY PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051207000686 TX Practitioner - Diagnostic Radiology 1355361353 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021338LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI of Frisco LP CurrentSince Aug 15, 2018 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Aug 15, 2018 Accepting new patients
North Star MCD LLC CurrentSince Aug 15, 2018 Accepting new patients
North Star GV, LP CurrentSince Aug 15, 2018 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Jan 1, 2001 Accepting new patients
North Star MCD, LLC CurrentSince Aug 15, 2018 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star FP, LP CurrentSince Aug 15, 2018 Accepting new patients
North Star Plano Parkway, LP CurrentSince Aug 15, 2018 Accepting new patients
North Star FM, LP CurrentSince Aug 15, 2018 Accepting new patients
North Star MRI LP CurrentSince Aug 15, 2018 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

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

8501 Wade Blvd
#220N
Frisco, TX 75034

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1851359525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "STE 1825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935215",
            "telephone_number": "972-867-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEDICAL CENTER DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-540-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINN",
        "first_name": "TODD",
        "middle_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J3110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104797904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLIN COUNTY PTAN",
            "identifier": "84122R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.