Organization Active NPI

Denton Digestive Institute PLLC

  • Gastroenterology Physician
  • Denton, TX
National Provider Identifier
1902277700
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
Q5911 Issued in TX
Legal business name
DENTON DIGESTIVE INSTITUTE PLLC
Practice address
1614 Scripture St Ste 6
Denton, TX 76201-3838
Phone
(940) 383-1400
Fax
(940) 383-1411
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Abhinandan Raj, MDNPI 1477657070
Title
President
Phone
(940) 383-1400

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Q5911 TX Primary

Addresses

Primary practice location

1614 Scripture St Ste 6
Denton, TX 76201-3838

Mailing address

1614 Scripture St Ste 6
Denton, TX 76201-3838
Phone (940) 383-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160219000610 TX Part B Supplier - Clinic/Group Practice 2163727785 Receives reassigned benefits from 1 practitioner
Practice locations: Denton, TX

National Provider Directory

National Provider Directory

Locations

1614 Scripture St
Ste 6
Denton, TX 76201
Phone (940) 383-1400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHDBBD
  • FHIR API: https://api.platform.athenahealth.com/13033/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1902277700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 SCRIPTURE ST STE 6",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013838",
            "telephone_number": "940-383-1400",
            "fax_number": "940-383-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 SCRIPTURE ST STE 6",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013838",
            "telephone_number": "940-383-1400",
            "fax_number": "940-383-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON DIGESTIVE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "RAJ",
        "authorized_official_first_name": "ABHINANDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-383-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "Q5911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.