1. Home
  2. Directory
  3. Texas
  4. Colleyville
  5. Internal Medicine
  6. NPI Profile

BURNABY MEDICAL GROUP LLC
NPI 1104510577
Internal Medicine in Colleyville, TX

Active since June 07, 2023
6909 BENJAMIN WAY, COLLEYVILLE, TX 76034(405) 694-3989 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Burnaby Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURNABY MEDICAL GROUP LLC (NPI 1104510577), doing business as Burnaby Medical Group, is a healthcare organization registered as an internal medicine in Colleyville, Texas and active in the NPI registry since June 2023. The organization lists Syed Tahsin Ahmed, Member, as its authorized official.

NPPES Registry Identity

NPI1104510577
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBURNABY MEDICAL GROUP LLC
Location Address6909 BENJAMIN WAYColleyville, TX 76034-1109
Mailing Address6909 Benjamin WayColleyville, TX 76034-1109 · (405) 694-3989
Phone(405) 694-3989
Organization SubpartNo
Authorized OfficialSyed Tahsin AhmedMember · (405) 694-3989
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1104510577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6909 BENJAMIN WAY, Colleyville, TX 76034
Open in Google Maps ↗

Other Names 1

Doing Business AsBurnaby Medical Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burnaby Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Burnaby Medical Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Babita Upreti
Nurse Practitioner
NPI 1023711751
7016 AVERY LN
Colleyville, TX 76034
(682) 553-5416
✔ PECOS0.1 mi
Anthony Fajardo, N.P.
Nurse Practitioner
NPI 1407367592
6363 N STATE HIGHWAY 161 STE 100
Irving, TX 75038
(469) 200-3272
✔ PECOS✔ Accepts Medicare12 mi
Syed Ahmed, D.O.
Internal Medicine
NPI 1477811321
7323 CAMPBELL RD
Dallas, TX 75248
(405) 694-3989
✔ PECOS✔ Accepts Medicare24 mi
Ashley Hall, FNP-C
Nurse Practitioner
NPI 1992326102
3034 COVENTRY LN
Waxahachie, TX 75165
(469) 807-1055
✔ PECOS37 mi
Alexander Pendergrass, FNP-C
Nurse Practitioner
NPI 1982212841
808 WOODROW WILSON RAY CIR
Bridgeport, TX 76426
(817) 966-2960
✔ PECOS40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burnaby Medical Group LLC's NPI number?

The NPI number for Burnaby Medical Group LLC is 1104510577. It was assigned to this organization in the NPPES registry on June 7, 2023. The provider is doing business as Burnaby Medical Group.

Where is Burnaby Medical Group LLC located?

Burnaby Medical Group LLC is located at 6909 Benjamin Way, Colleyville, TX 76034. The listed phone number is (405) 694-3989.

What is Burnaby Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Burnaby Medical Group LLC enrolled in Medicare?

Yes. Burnaby Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burnaby Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Burnaby Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Burnaby Medical Group LLC accept?

Health plans from Molina Healthcare list Burnaby Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Burnaby Medical Group LLC was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.