NPIMap

Individual provider Active NPI

Mark Darius Khorsandi, DO

  • Orthopaedic Hand Surgery Physician
  • Houston, TX
National Provider Identifier
1023051307
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
M7331 Issued in TX
Practice address
810 Waugh Dr Ste 200
Houston, TX 77019-2013
Phone
(713) 522-5111
Fax
(713) 522-6111
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X DO1445 NV
Surgery Physician 208600000X OS9504 FL
Surgery Physician 208600000X 219738 NY
Surgery of the Hand (Surgery) Physician 2086S0105X 4587 AZ
Orthopaedic Hand Surgery Physician 207XS0106X M7331 TX Primary

Addresses

Primary practice location

810 Waugh Dr Ste 200
Houston, TX 77019-2013

Mailing address

1355 W Gray St
Ste. B
Houston, TX 77019-4019
Phone (713) 522-5111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071129000535 TX Practitioner - General SurgeryPractitioner - Hand SurgeryPractitioner - Other (Physician) 6103846647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Hand Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hand Surgery Specialists of HoustonGroup PAC ID 8224261482, 3 clinicians

Practice addresses (Care Compare)

1355 W Gray
Suite B
Houston, TX 77019-4019

1355 W Gray St
Suite B
Houston, TX 77019-4019

800 Peakwood Dr
Suite 8B
Houston, TX 77090-2904
Phone (713) 522-5111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1445NVMDOrthopaedic Hand Surgery Physician
M7331TXMDOrthopaedic Hand Surgery Physician
OS9504FLMDSurgery Physician
219738NYMDSurgery Physician
4587AZMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Metro Skin Health PA Current Accepting new patients
Hand Surgery Specialists of Houston Hand Surgery CurrentSince Jan 29, 2014 Accepting new patients

Locations

4002 Garth Rd
Ste 100
Baytown, TX 77521
Phone (281) 420-2391

810 Waugh Dr
Ste 200
Houston, TX 77019
Phone (713) 522-5111

800 Peakwood Dr
Ste 8B
Houston, TX 77090
Phone (281) 580-6797

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDECA/Endpoint/EHDECA

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 12

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1023051307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W GRAY ST",
            "address_2": "STE. B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194019",
            "telephone_number": "713-522-5111",
            "fax_number": "713-522-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WAUGH DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770192013",
            "telephone_number": "713-522-5111",
            "fax_number": "713-522-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSANDI",
        "first_name": "MARK",
        "middle_name": "DARIUS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NV",
            "license": "DO1445",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS9504",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "219738",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "AZ",
            "license": "4587",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "M7331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.