TX PRIMARY CARE PLUS
NPI 1952875064
Internal Medicine - Geriatric Medicine in Plano, TX

Active since January 11, 2019CLIA 45D2228447 · Waiver
5040 TENNYSON PKWY, PLANO, TX 75024(469) 476-7810(469) 574-7840 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2021, Apr 6, 2020, Jan 11, 2019 (3 updates tracked since 2019).

About Tx Primary Care Plus NPPES

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

TX PRIMARY CARE PLUS (NPI 1952875064) is a healthcare organization registered as a geriatric medicine in Plano, Texas and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Venkatesh Madhav, Manager, as its authorized official.

NPPES Registry Identity

NPI1952875064
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameOM DATTA PLLC
Location Address5040 TENNYSON PKWYPlano, TX 75024-3002
Mailing Address5040 Tennyson PkwyPlano, TX 75024-3002 · (469) 476-7810 · Fax (469) 574-7840
Fax(469) 574-7840
Organization SubpartYes
Authorized OfficialVenkatesh MadhavManager · (469) 476-7810
Enumeration DateJanuary 11, 2019
Last NPPES UpdateJuly 22, 20213 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
NPI 1952875064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
5040 TENNYSON PKWY, Plano, TX 75024

Other Names 1

Doing Business AsTx Primary Care Plus

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2228447

Tx Primary Care Plus · Plano, TX
Active · expires Jun 24, 2027
CLIA Number45D2228447
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorVenkatesh Madhav
Laboratory Phone(214) 607-6526
Laboratory LocationTx Primary Care Plus5040 Tennyson Pkwy, Plano, TX 75024
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5040 TENNYSON PKWY
PLANO, TX 75024
Nurse Practitioner (Family)
5040 TENNYSON PKWY
PLANO, TX 75024
Internal Medicine
5040 TENNYSON PKWY
PLANO, TX 75024

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 Om Datta PLLC's NPI number?

The NPI number for Om Datta PLLC is 1952875064. It was assigned to this organization in the NPPES registry on January 11, 2019. The provider is doing business as Tx Primary Care Plus.

Where is Om Datta PLLC located?

Om Datta PLLC is located at 5040 Tennyson Pkwy, Plano, TX 75024. The listed phone number is (469) 476-7810.

What is Om Datta PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Om Datta PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2228447) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Om Datta PLLC was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.