Organization Active NPI

Cardiac Clinic of Texas

  • Cardiovascular Disease Physician
  • Dallas, TX
National Provider Identifier
1881033025
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
P5086 Issued in TX
Legal business name
CARDIAC CLINIC OF TEXAS
Practice address
1 Medical Pkwy Ste 103
Dallas, TX 75234-7830
Phone
(972) 488-9656
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Dr. Waseem Muhammad Jaffrani, MDNPI 1013110881
Title
Practice Administrator
Phone
(972) 488-9656

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X P5086 TX Primary

Addresses

Primary practice location

1 Medical Pkwy Ste 103
Dallas, TX 75234-7830

Mailing address

124 Dublin Rd
Murphy, TX 75094-9721

Other identifiers 1

IdentifierTypeStateIssuer
388578201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130913000506 TX Part B Supplier - Clinic/Group Practice 2365686326 Receives reassigned benefits from 1 practitioner
Practice locations: Farmers Branch, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1881033025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DUBLIN RD",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750949721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PKWY STE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347830",
            "telephone_number": "972-488-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CLINIC OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "JAFFRANI",
        "authorized_official_first_name": "WASEEM",
        "authorized_official_middle_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-488-9656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P5086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388578201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.