Active NPI
Restora Health PLLC
- Nephrology Physician
- Plano, TX
National Provider Identifier
1891512505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- RESTORA HEALTH PLLC
- Practice address
- 555 Republic Dr Ste 100B
Plano, TX 75074-5481 - Phone
- (972) 308-0000
- Fax
- (972) 318-2003
- NPI assigned
- Sep 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rabeea K Choudhary, MD
- Title
- Ceo/Owner
- Phone
- (972) 308-0000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
555 Republic Dr Ste 100B
Plano, TX 75074-5481
Mailing address
555 Republic Dr Ste 100B
Plano, TX 75074-5481
Phone (972) 308-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1891512505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 REPUBLIC DR STE 100B",
"city": "PLANO",
"state": "TX",
"postal_code": "750745481",
"telephone_number": "972-308-0000",
"fax_number": "972-318-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 REPUBLIC DR STE 100B",
"city": "PLANO",
"state": "TX",
"postal_code": "750745481",
"telephone_number": "972-308-0000",
"fax_number": "972-318-2003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORA HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "CHOUDHARY",
"authorized_official_first_name": "RABEEA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "972-308-0000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.