Individual provider Active NPI

Reesha Mahnoor, MD

  • Internal Medicine Physician
  • Amarillo, TX
National Provider Identifier
1922399724
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P8272 Issued in TX
Practice address
1400 Coulter Street
Ttuhsc,
Amarillo, TX 79106-1708
Phone
(806) 354-5417
Fax
(806) 351-3787
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X P8272 TX Primary

Addresses

Primary practice location

1400 Coulter Street
Ttuhsc,
Amarillo, TX 79106-1708

Mailing address

12221 Merit Dr.
Suite 1500
Dallas, TX 75251
Phone (214) 217-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140905002100 TX Practitioner - Internal Medicine 2062630916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

3901 W 15TH St
Plano, TX 75075-7738
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P8272TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jul 2, 2014 Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

12221 Merit Dr
Ste 1500
Dallas, TX 75251
Phone (214) 217-1900

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1922399724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR.",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "214-217-1911",
            "fax_number": "214-217-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COULTER STREET",
            "address_2": "TTUHSC,",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061708",
            "telephone_number": "806-354-5417",
            "fax_number": "806-351-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHNOOR",
        "first_name": "REESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.