Individual provider Active NPI

Jerome G Naifeh, M.D.

  • Vascular Surgery Physician
  • Farmers Branch, TX
National Provider Identifier
1003893728
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
E1471 Issued in TX
Practice address
10 Medical Pkwy Ste 106
Farmers Branch, TX 75234-7838
Phone
(214) 632-2606
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X E1471 TX Primary

Addresses

Primary practice location

10 Medical Pkwy Ste 106
Farmers Branch, TX 75234-7838

Mailing address

5637 Crowndale Dr
Plano, TX 75093-8502
Phone (214) 632-2606

Other practice location 1

5072 W Plano Pkwy Ste 260
Plano, TX 75093-4475
Phone (214) 632-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000061 TX Practitioner - General PracticePractitioner - Vascular Surgery 8921062167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vein Treatment Centers Vascular Surgery CurrentSince May 18, 2018 Accepting new patients

Locations

3939 W Green Oaks Blvd
Ste 100
Arlington, TX 76016
Phone (214) 632-2606

10 Medical Pkwy
Ste 106
Farmers Branch, TX 75234
Phone (469) 453-5500

6300 W Parker Rd
Ste 420
Plano, TX 75093
Phone (214) 361-0016

5072 W Plano Pkwy
Ste 260
Plano, TX 75093
Phone (214) 632-2606

2301 Marsh Ln
Ste 210
Plano, TX 75093
Phone (214) 380-0799

6020 W Parker Rd
Ste 305
Plano, TX 75093
Phone (214) 380-0799

Organizations & group practices 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1003893728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 CROWNDALE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938502",
            "telephone_number": "214-632-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY STE 106",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347838",
            "telephone_number": "214-632-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5072 W Plano Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750934475",
            "country_code": "US",
            "telephone_number": "214-632-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIFEH",
        "first_name": "JEROME",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "E1471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.