Active NPI
Pritibahen Atmik Singal
- Student in an Organized Health Care Education/Training Program
- Dallas, TX
National Provider Identifier
1902512619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2088 - Phone
- (214) 820-3772
- NPI assigned
- Jan 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | BP10088908 | TX | |
| Cytopathology Physician | 207ZC0500X | 125.083010 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | Primary |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2088
Mailing address
3500 Gaston Ave
Dallas, TX 75246-2088
Phone (214) 820-3772
Other practice location 1
114 Ambrose Dr
Pflugerville, TX 78660-4902
Phone (669) 241-9919
Other practice location 2
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 327-2572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.083010 | IL | MD | Cytopathology Physician |
| BP10088908 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1902512619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462088",
"telephone_number": "214-820-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462088",
"telephone_number": "214-820-3772"
}
],
"practiceLocations": [
{
"address_1": "114 Ambrose Dr",
"address_purpose": "LOCATION",
"city": "Pflugerville",
"state": "TX",
"postal_code": "786604902",
"country_code": "US",
"telephone_number": "669-241-9919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-327-2572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGAL",
"first_name": "PRITIBAHEN",
"middle_name": "ATMIK",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2024-06-25",
"certification_date": "2024-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "BP10088908",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "IL",
"license": "125.083010",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.