Individual provider Active NPI

Arifa Nishat, M.D.

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1942410113
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD203169 Issued in LA
Practice address
825 N McDonald St.
Suite 130
McKinney, TX 75069
Phone
(972) 548-4764
Fax
(972) 548-4441
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD203169 LA Primary

Addresses

Primary practice location

825 N McDonald St.
Suite 130
McKinney, TX 75069

Mailing address

825 N McDonald St.
Suite 130
McKinney, TX 75069
Phone (972) 548-4764

Other identifiers 1

IdentifierTypeStateIssuer
07811MedicaidLA

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
I20140411000805 TX Practitioner - Family Practice 3476696766

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD203169LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruston Clinic Company LLC Past Accepting new patients
Dallas County Mental Health & Mental Retardation Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arifa.nishat.1@18481.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1942410113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N MCDONALD ST.",
            "address_2": "SUITE 130",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-548-4764",
            "fax_number": "972-548-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MCDONALD ST.",
            "address_2": "SUITE 130",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-548-4764",
            "fax_number": "972-548-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHAT",
        "first_name": "ARIFA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD203169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.