Organization Active NPI

K&M Healthcare Services PLLC

  • Internal Medicine Physician
  • Grapevine, TX
National Provider Identifier
1992247068
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
K&M HEALTHCARE SERVICES PLLC
Practice address
1643 Lancaster Dr Ste 201
Grapevine, TX 76051-3593
Phone
(972) 510-5150
Fax
(972) 852-9094
NPI assigned
Nov 7, 2016
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Alok Kushwaha, M.D.
Title
Managing Member
Phone
(972) 510-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TX Primary

Addresses

Primary practice location

1643 Lancaster Dr Ste 201
Grapevine, TX 76051-3593

Mailing address

405 Stockton Dr
Southlake, TX 76092-2229
Phone (682) 831-0334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1992247068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STOCKTON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760922229",
            "telephone_number": "682-831-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR STE 201",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "972-510-5150",
            "fax_number": "972-852-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&M HEALTHCARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "KUSHWAHA",
        "authorized_official_first_name": "ALOK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-510-5150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.