Organization Active NPI

Rheumatology & Autoimmune Specialists PLLC

  • Rheumatology Physician
  • Flower Mound, TX
National Provider Identifier
1871283077
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RHEUMATOLOGY & AUTOIMMUNE SPECIALISTS PLLC
Practice address
2609 Sagebrush Dr Ste 101
Flower Mound, TX 75028-4670
Phone
(407) 266-3627
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Hina Tareen, OWNERNPI 1437569829
Title
MD
Phone
(972) 410-0091

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2609 Sagebrush Dr Ste 101
Flower Mound, TX 75028-4670

Mailing address

2609 Sagebrush Dr Ste 101
Flower Mound, TX 75028-4670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230710001747 TX Part B Supplier - Clinic/Group Practice 7113386020 Receives reassigned benefits from 2 practitioners
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

2609 Sagebrush Dr
Ste 101
Flower Mound, TX 75028
Phone (972) 539-4875

Practitioners & affiliated clinicians

Practitioners 2

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1871283077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SAGEBRUSH DR STE 101",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 SAGEBRUSH DR STE 101",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284670",
            "telephone_number": "407-266-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY & AUTOIMMUNE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "TAREEN",
        "authorized_official_first_name": "HINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-410-0091",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.