Active NPI
North Texas Rheumatology PA
- Rheumatology Physician
- Dallas, TX
National Provider Identifier
1902130156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- M2255
- Legal business name
- NORTH TEXAS RHEUMATOLOGY PA
- Practice address
- 8220 Walnut Hill LN Ste 414
Dallas, TX 75231-4417 - Phone
- (469) 916-0677
- NPI assigned
- Sep 21, 2009
- 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
- Dr. Pooja Banerjee, MD
- Title
- Owner / Director / Physician
- Phone
- (469) 916-0677
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | M2255 | TX | Primary |
Addresses
Primary practice location
8220 Walnut Hill LN Ste 414
Dallas, TX 75231-4417
Mailing address
8220 Walnut Hill LN Ste 414
Dallas, TX 75231-4417
Phone (469) 916-0677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A5838 | Other | GROUP MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8230 Walnut Hill Ln
Ste 614
Dallas, TX 75231
Phone (469) 916-0677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Dallas, TX
- NPI 1538138011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1902130156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LN STE 414",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314417",
"telephone_number": "469-916-0677",
"fax_number": "214-716-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LN STE 414",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314417",
"telephone_number": "469-916-0677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH TEXAS RHEUMATOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BANERJEE",
"authorized_official_first_name": "POOJA",
"authorized_official_title_or_position": "OWNER / DIRECTOR / PHYSICIAN",
"authorized_official_telephone_number": "469-916-0677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "M2255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "0A5838",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- North Texas Perinatal Associates PA
- North Texas Perinatal Associates, P.a.
- North Texas Physiatry P.a.
- North Texas Premier Physicians Group PLLC
- North Texas Rheumatology Associates, P.a.
- North Texas Sleep Lab, L.L.P.
- North Texas Spine Specialty PLLC
- North Texas Spinecare, LLP
- North Texas SRS LLC
- North Texas Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.