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NORTHSTAR INTERNAL MEDICINE PA
NPI 1992058705
Internal Medicine in Grand Prairie, TX

Active since October 17, 2012
5720 APPALOSSA DR, GRAND PRAIRIE, TX 75052(817) 717-1299 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northstar Internal Medicine Pa NPPES

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

NORTHSTAR INTERNAL MEDICINE PA (NPI 1992058705) is a healthcare organization registered as an internal medicine in Grand Prairie, Texas and active in the NPI registry since October 2012. The organization lists Ikechukwu A Nwabude, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1992058705
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHSTAR INTERNAL MEDICINE PA
Location Address5720 APPALOSSA DRGrand Prairie, TX 75052-2522
Mailing Address5720 Appalossa DrGrand Prairie, TX 75052-2522 · (469) 209-9110
Phone(817) 717-1299
Organization SubpartNo
Authorized OfficialIkechukwu A NwabudePresident And Ceo · (469) 209-9110
Enumeration DateOctober 17, 2012
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1992058705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N5288
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.
5720 APPALOSSA DR, Grand Prairie, TX 75052
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Other Identifiers 1

OtherN5288TX · Texas License

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northstar Internal Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northstar Internal Medicine PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ikechukwu Nwabude, MD
Internal Medicine
NPI 1720225816
2705 HOSPITAL BLVD SUITE 105
Grand Prairie, TX 75051
(817) 717-1299
✔ PECOS5.9 mi
Roseline Jones, FNP-C
Nurse Practitioner
NPI 1538645510
6605 CREEK BND
Rowlett, TX 75089
(469) 335-2356
✔ PECOS33 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 Northstar Internal Medicine PA's NPI number?

The NPI number for Northstar Internal Medicine PA is 1992058705. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is Northstar Internal Medicine PA located?

Northstar Internal Medicine PA is located at 5720 Appalossa Dr, Grand Prairie, TX 75052. The listed phone number is (817) 717-1299.

What is Northstar Internal Medicine PA's specialty?

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

Is Northstar Internal Medicine PA enrolled in Medicare?

Yes. Northstar Internal Medicine PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northstar Internal Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northstar Internal Medicine PA, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northstar Internal Medicine PA was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.