Active NPI
Arifa Nishat, M.D.
- Family Medicine Physician
- McKinney, TX
National Provider Identifier
1942410113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD203169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07811 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140411000805 | TX | Practitioner - Family Practice | 3476696766 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD203169 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruston Clinic Company LLC | Past | Accepting new patients | |
| Dallas County Mental Health & Mental Retardation Center | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Metrocare Services
- Psychiatry Physician
- Dallas, TX
- NPI 1023239886
-
- Surgery Physician
- Ruston, LA
- NPI 1336292432
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.