Organization Active NPI

Rizwan H Bukhari MD PA

  • Vascular Surgery Physician
  • Mesquite, TX
National Provider Identifier
1871918938
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
RIZWAN H BUKHARI MD PA
Practice address
3220 Gus Thomasson Rd Ste 231
Mesquite, TX 75150
Phone
(972) 885-8346
Fax
(214) 466-1976
NPI assigned
Feb 26, 2014
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Rizwan H Bukhari, MDNPI 1225076227
Title
Owner
Phone
(972) 885-8346

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

3220 Gus Thomasson Rd Ste 231
Mesquite, TX 75150

Mailing address

3220 Gus Thomasson Rd Ste 231
Mesquite, TX 75150-4051
Phone (972) 885-8346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141009002580 TX Part B Supplier - Clinic/Group Practice 0749400992 Receives reassigned benefits from 4 practitioners
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

3220 Gus Thomasson Rd
Ste 231
Mesquite, TX 75150
Phone (972) 885-8346

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1871918938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD STE 231",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504051",
            "telephone_number": "972-885-8346",
            "fax_number": "214-466-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD STE 231",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-885-8346",
            "fax_number": "214-466-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZWAN H BUKHARI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BUKHARI",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-885-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.