Organization Active NPI

Plano Supreme Primary Care Inc

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1982046561
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PLANO SUPREME PRIMARY CARE INC
Practice address
4020 Hedgcoxe Rd
Suite 700
Plano, TX 75024-7700
Phone
(972) 213-0088
NPI assigned
Jul 23, 2013
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Yinghui Liu, MDNPI 1003025271
Title
Owner
Phone
(972) 618-7800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4020 Hedgcoxe Rd
Suite 700
Plano, TX 75024-7700

Mailing address

4020 Hedgcoxe Rd Ste 700
Plano, TX 75024-7703
Phone (972) 618-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131213001435 TX Part B Supplier - Clinic/Group Practice 7315174505 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

4020 Hedgcoxe Rd
Ste 700
Plano, TX 75024
Phone (972) 213-0088

4020 Hedgcoxe Rd
Plano, TX 75024

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1982046561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 HEDGCOXE RD STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247703",
            "telephone_number": "972-618-7800",
            "fax_number": "972-618-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 HEDGCOXE RD",
            "address_2": "SUITE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247700",
            "telephone_number": "972-213-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO SUPREME PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YINGHUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-618-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.