Irving Coppell Primary Care Doctors PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IRVING COPPELL PRIMARY CARE DOCTORS PLLC

Practice address

309 Regency Pkwy
Suite #107
Mansfield, TX 76063-5165

Phone

(972) 905-3915

Fax

(940) 205-4525

NPI assigned

Jun 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Vijayalakshmi Raghu, M.D.NPI 1225220940

Title

Owner/Provider

Phone

(972) 905-3915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11475/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijayalakshmi Raghu, M.D.

  • Family Medicine Physician
  • Irving, TX
  • NPI 1225220940
  Medicare reassignment NPD Authorized official
• Raghu R Turebylu, MD

  • Neonatal-Perinatal Medicine Physician
  • Fort Worth, TX
  • NPI 1154349199
  Medicare reassignment NPD
• Enniah Ndawana, PA

  • Allergy & Immunology Physician
  • Bryan, TX
  • NPI 1588211726
  Medicare reassignment

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1871973867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15885",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154053",
            "telephone_number": "972-905-3915",
            "fax_number": "940-205-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 REGENCY PKWY",
            "address_2": "SUITE #107",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635165",
            "telephone_number": "972-905-3915",
            "fax_number": "940-205-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING COPPELL PRIMARY CARE DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "RAGHU",
        "authorized_official_first_name": "VIJAYALAKSHMI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "972-905-3915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed S Iqbal, MD
• Iroko Psychiatry PLLC
• James N Irvine, DO
• Sharon M Irvine, DO
• Irving & Stephenson DDS, RLLP
• Joseph Edward Irving, DDS
• Island Orthodontics
• Abdo Ismail, DDS, MS
• Iso Healthcare LLC
• Sierra Isom, NP

• Family Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.