Individual provider Active NPI

Israel Paul Nosnik, M.D.

  • Pediatric Urology Physician
  • Plano, TX
National Provider Identifier
1962660019
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
Q0138 Issued in TX
Practice address
4001 W 15TH St
Suite 300
Plano, TX 75093-5841
Phone
(214) 750-0808
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 036129839 IL
Pediatric Urology Physician 2088P0231X Q0138 TX Primary

Addresses

Primary practice location

4001 W 15TH St
Suite 300
Plano, TX 75093-5841

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855

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
I20140829000870 TX Practitioner - Urology 0345468500 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036129839ILMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc CurrentSince Oct 1, 2021 Accepting new patients
Cook Children'S Physician Network CurrentSince Oct 31, 2017 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Oct 1, 2021 Accepting new patients
Cook Children'S Physician Network CurrentSince Oct 31, 2017 Accepting new patients
Legacy Trail Surgery Center, LLC Past Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

8315 Walnut Hill Ln
Ste 205
Dallas, TX 75231
Phone (214) 750-0808

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

7211 Preston Rd
Ste 3900
Plano, TX 75024

7211 Preston Rd
Ste 3700
Plano, TX 75024
Phone (469) 303-8470

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

4001 W 15th St
Ste 300
Plano, TX 75093
Phone (214) 691-9777

4200 W University Dr
Prosper, TX 75078
Phone (682) 303-4200

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: inosnik161080@direct.childrens.com

Organizations & group practices 5

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1962660019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935841",
            "telephone_number": "214-750-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSNIK",
        "first_name": "ISRAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "IL",
            "license": "036129839",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "Q0138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.