Active NPI
Ravinder K Puar, MD
- Family Medicine Physician
- Carrollton, TX
National Provider Identifier
1871586768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H1825
- Practice address
- 2761 E Trinity Mills Rd
Suite 100
Carrollton, TX 75006-3506 - Phone
- (972) 478-8800
- Fax
- (972) 478-8813
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H1825 | TX | Primary |
| Pediatrics Physician | 208000000X | H1825 | TX |
Addresses
Primary practice location
2761 E Trinity Mills Rd
Suite 100
Carrollton, TX 75006-3506
Mailing address
2761 E Trinity Mills Rd
Suite 100
Carrollton, TX 75006-3506
Phone (972) 478-8800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009LB | Other | TX | BLUE SHIELD |
| 121518807 | Medicaid | TX | |
| 121518806 | Medicaid | TX |
Other names 1
- Ravi K Puar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1825 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Family Medicine | Past | Accepting new patients |
| Primamed Physicians PLLC | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1164494068
-
- Urgent Care Clinic/Center
- Plano, TX
- NPI 1619922549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1871586768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 E TRINITY MILLS RD",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750063506",
"telephone_number": "972-478-8800",
"fax_number": "972-478-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2761 E TRINITY MILLS RD",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750063506",
"telephone_number": "972-478-8800",
"fax_number": "972-478-8813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUAR",
"first_name": "RAVINDER",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H1825",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "H1825",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0009LB",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121518807",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121518806",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAVI",
"last_name": "PUAR",
"middle_name": "K",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.