Individual provider Active NPI

Hamid Reza Pirnajmedin

  • Surgical Assistant
  • Dallas, TX
National Provider Identifier
1003288259
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
177769 Issued in TX
Practice address
4808 Haverwood LN Apt 1236
Dallas, TX 75287
Phone
(940) 536-3551
NPI assigned
Oct 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 177769 TX Primary

Addresses

Primary practice location

4808 Haverwood LN Apt 1236
Dallas, TX 75287

Mailing address

112 Rustic Oak LN
McKinney, TX 75070-8498
Phone (940) 536-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
177769TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical First Assist LLC CurrentSince May 19, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1003288259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 RUSTIC OAK LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708498",
            "telephone_number": "940-536-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 HAVERWOOD LN APT 1236",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75287",
            "telephone_number": "940-536-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRNAJMEDIN",
        "first_name": "HAMID",
        "middle_name": "REZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "177769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; 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.