Individual provider Active NPI

Brian Ezekian, M.D.

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1013336973
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
U6472 Issued in TX
Practice address
7777 Forest LN Ste C240
Dallas, TX 75230-7515
Phone
(972) 566-7000
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X U6472 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C240
Dallas, TX 75230-7515

Mailing address

7777 Forest LN Ste C240
Dallas, TX 75230-7515
Phone (972) 566-7000

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
I20240326002691 TX Practitioner - General Surgery 7719324789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical City Transplant, PLLCGroup PAC ID 6709176654, 18 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite C339
Dallas, TX 75230-2544
Phone (469) 608-4980

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U6472TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical City Transplant, PLLC Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Dallas Nephrology Associates PastSince May 7, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7777 Forest Ln
Ste C339
Dallas, TX 75230
Phone (469) 608-4980

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste C240
Dallas, TX 75230
Phone (469) 620-0222

7777 Forest Ln
Ste B446
Dallas, TX 75230
Phone (972) 566-8441

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: brian.ezekian@hca7.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1013336973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752307515",
            "telephone_number": "972-566-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752307515",
            "telephone_number": "972-566-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEKIAN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "U6472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.