NPIMap

Organization Active NPI

Medinet Healthcare Agency Inc

  • Family Medicine Physician
  • Addison, TX
National Provider Identifier
1942671573
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDINET HEALTHCARE AGENCY INC
Practice address
15305 Dallas Pkwy
Ste@300
Addison, TX 75001-4637
Phone
(972) 533-0495
NPI assigned
Oct 8, 2015
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Saira Jamal
Title
Director
Phone
(972) 533-0495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

15305 Dallas Pkwy
Ste@300
Addison, TX 75001-4637

Mailing address

15305 Dallas Pkwy
Ste@300
Addison, TX 75001-4637
Phone (972) 533-0495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151202000372 TX Part B Supplier - Clinic/Group Practice 7416257175 Receives reassigned benefits from 24 practitioners
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

4425 Plano Pkwy
Ste 203
Carrollton, TX 75010
Phone (972) 752-6206

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1942671573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 DALLAS PKWY",
            "address_2": "STE@300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014637",
            "telephone_number": "972-533-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15305 DALLAS PKWY",
            "address_2": "STE@300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014637",
            "telephone_number": "972-533-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINET HEALTHCARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-533-0495"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.