Active NPI
North Dallas Primary Care Doctors PLLC
- Internal Medicine Physician
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P0418
- Legal business name
- NORTH DALLAS PRIMARY CARE DOCTORS PLLC
- Practice address
- 8795 Preston Trace Blvd Ste 100
Frisco, TX 75033-3010 - Phone
- (214) 705-3728
- Fax
- (214) 308-9464
- NPI assigned
- Aug 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suchitra Rao Kamineni, MD
- Title
- President
- Phone
- (214) 705-3728
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | P0418 | TX | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Pediatrics Physician | 208000000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X |
Addresses
Primary practice location
8795 Preston Trace Blvd Ste 100
Frisco, TX 75033-3010
Mailing address
8795 Preston Trace Blvd Ste 100
Frisco, TX 75033-3010
Phone (214) 705-3728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2143116 | North Dallas Primary Care Doctors | Certificate of waiver | Jan 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
8795 Preston Trace Blvd
#100
Frisco, TX 75033
8795 Preston Trace Blvd
Ste 100
Frisco, TX 75033
Phone (214) 705-3728
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Frisco, TX
- NPI 1851548622
-
- Family Nurse Practitioner
- McKinney, TX
- NPI 1689421497
-
- Neonatal-Perinatal Medicine Physician
- Fort Worth, TX
- NPI 1528279171
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719446400000",
"number": "1952828279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8795 PRESTON TRACE BLVD STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333010",
"telephone_number": "214-705-3728",
"fax_number": "214-308-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8795 PRESTON TRACE BLVD STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333010",
"telephone_number": "214-705-3728",
"fax_number": "214-308-9464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH DALLAS PRIMARY CARE DOCTORS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-28",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "KAMINENI",
"authorized_official_first_name": "SUCHITRA",
"authorized_official_middle_name": "RAO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-705-3728",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "P0418",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
- North Central Texas Physical Medicine & Rehabilitation PA
- North Dallas Care-One Caregivers, LLC
- North Dallas Healthcare Associates LLC
- North Dallas Hormone Group, PLLC
- North Dallas Physical Therapy
- North Dallas Services LLC
- North Dallas Standard Health, LLC
- North Dallas Urogynecology, PLLC
- North Dallas Vein Care LLC
- North Dallas Women'S Care PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.