Organization Active NPI

Texas Associates of Endocrinology & Diabetes, P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • McKinney, TX
National Provider Identifier
1851827331
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
Q5278 Issued in TX
Legal business name
TEXAS ASSOCIATES OF ENDOCRINOLOGY & DIABETES, P.A.
Practice address
4521 Medical Center Dr Ste 400
McKinney, TX 75069-6863
Phone
(214) 547-7557
Fax
(469) 631-7217
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Muhammad Shaharyar Siddiqui, M.D.NPI 1194011999
Title
Owner of Entity
Phone
(314) 258-3659

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Q5278 TX Primary

Addresses

Primary practice location

4521 Medical Center Dr Ste 400
McKinney, TX 75069-6863

Mailing address

4521 Medical Center Dr Ste 400
McKinney, TX 75069-6863
Phone (214) 547-7557

Other identifiers 1

IdentifierTypeStateIssuer
371179801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170522002662 TX Part B Supplier - Clinic/Group Practice 9638446693 Receives reassigned benefits from 5 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

4521 Medical Center Dr
Ste 400
McKinney, TX 75069
Phone (214) 547-7557

4510 Medical Center Dr
Ste 202
McKinney, TX 75069
Phone (214) 547-7557

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEGABD

Practitioners & affiliated clinicians

Practitioners 5

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": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1851827331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 MEDICAL CENTER DR STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750696863",
            "telephone_number": "214-547-7557",
            "fax_number": "469-631-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 MEDICAL CENTER DR STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750696863",
            "telephone_number": "214-547-7557",
            "fax_number": "469-631-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ASSOCIATES OF ENDOCRINOLOGY & DIABETES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "SHAHARYAR",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "314-258-3659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "Q5278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371179801",
            "state": "TX"
        }
    ],
    "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 Feb 24, 2023; 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.