Individual provider Active NPI

Avanika Patil, PA

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1922754068
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15432 Issued in TX
Practice address
9255 Dallas Pkwy Ste 110
Frisco, TX 75033-4211
Phone
(972) 377-1490
Fax
(972) 377-1499
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15432 TX Primary

Addresses

Primary practice location

9255 Dallas Pkwy Ste 110
Frisco, TX 75033-4211

Mailing address

9255 Dallas Pkwy Ste 110
Frisco, TX 75033-4211
Phone (972) 377-1490

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220311001907 TX Practitioner - Physician Assistant 7810382769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Physician Assistant CurrentSince Apr 4, 2022 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Apr 4, 2022 Accepting new patients

Locations

9255 Dallas Pkwy
Ste 110
Frisco, TX 75033
Phone (972) 377-1490

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1922754068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 DALLAS PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334211",
            "telephone_number": "972-377-1490",
            "fax_number": "972-377-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 DALLAS PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334211",
            "telephone_number": "972-377-1490",
            "fax_number": "972-377-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "AVANIKA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.