<unavail> in Grapevine, TX - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Grapevine, Texas. The current practice location for is 1643 Lancaster Dr Ste 201, Grapevine, Texas. For appointments, you can reach them via phone at (972) 510-5150. The mailing address for is 4029 Edgewater Ct, Richardson, Texas and phone number is (972) 510-5150.

is licensed to practice in Texas (license number K1232). The clinic also participates in the medicare program and its NPI number is 1528232667. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (972) 510-5150.

Contact Information


	1643 Lancaster Dr Ste 201 Grapevine TX 76051-3593
	(972) 510-5150
	(972) 852-9094

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	1643 Lancaster Dr Ste 201, Grapevine, Texas
Authorized Official Name and Position	Alok P Kushwaha (CEO)
Authorized Official Contact	9725105150
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4029 Edgewater Ct Richardson TX 75082-5606 Ph: (972) 510-5150	1643 Lancaster Dr Ste 201 Grapevine TX 76051-3593 Ph: (972) 510-5150

NPI Details:

NPI Number	1528232667
Provider Enumeration Date	04/18/2008
Last Update Date	02/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4981928629
Medicare Enrollment ID	O20150128001583

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528232667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	K1232 (Texas)	Primary
207RB0002X	Internal Medicine - Obesity Medicine	K1232 (Texas)	Secondary
208100000X	Physical Medicine & Rehabilitation	K1232 (Texas)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Alok Pratap Kushwaha
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1922039155 PECOS PAC ID: 3971512807 Enrollment ID: I20071022000308

Reviews and Comments

Internal Medicine in Grapevine, TX

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- Medicare Primary Care in Grapevine, TX