Pelican Medical Specialists PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PELICAN MEDICAL SPECIALISTS PLLC

Practice address

931 State Highway 121 Ste 1100
Allen, TX 75013-1180

Phone

(972) 674-9910

Fax

(972) 666-5166

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Mohammed MoizuddinNPI 1083722292

Title

Director

Phone

(972) 674-9910

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Mohammed Moizuddin, MD

  • Pulmonary Disease Physician
  • Denison, TX
  • NPI 1083722292
  Medicare reassignment Care Compare group NPD Authorized official
• Quretul Quresh, M.D

  • Rheumatology Physician
  • Allen, TX
  • NPI 1396056966
  Medicare reassignment Care Compare group NPD
• Ajaz Omer Khan, M.D.

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1043257645
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1902380009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 KENILWORTH ST",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135828",
            "telephone_number": "972-674-9910",
            "fax_number": "972-666-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 STATE HIGHWAY 121 STE 1100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750131180",
            "telephone_number": "972-674-9910",
            "fax_number": "972-666-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN MEDICAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "MOIZUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-674-9910"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405864601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sydney Janelle Perricone, M.S., CCC-SLP
• Jane Perry, CHIROPRACTOR

• Multi-Specialty Clinic/Center in Allen, TX
• Providers in Allen, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.