Individual provider Active NPI

Ali Jafarian, D.O.

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1033127873
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J0016 Issued in TX
Practice address
125 E Grubb Dr # 109
Mesquite, TX 75149-3402
Phone
(469) 904-3100
Fax
(972) 685-7000
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J0016 TX Primary

Addresses

Primary practice location

125 E Grubb Dr # 109
Mesquite, TX 75149-3402

Mailing address

125 E Grubb Dr # 109
Mesquite, TX 75149-3402
Phone (469) 904-3100

Other identifiers 2

IdentifierTypeStateIssuer
0056AZOtherTXMEDICARE #
128250101MedicaidTX

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
I20040728000536 TX Practitioner - Family Practice 1658341698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

125 E Grubb Dr
109 Wellmed at Mesquite
Mesquite, TX 75149-3402
Phone (972) 285-6349

2698 N Galloway
Suite 102
Mesquite, TX 75150-6388

2698 N Galloway Ave
Suite 102
Mesquite, TX 75150-6388
Phone (214) 693-6518

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0016TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mesquite Neurology Clinic PA PastSince Jan 1, 1997 Accepting new patients
Edward Panousieris, Dopa Family Medicine PastSince Apr 16, 2013 Accepting new patients

Organizations & group practices 4

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 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1033127873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E GRUBB DR # 109",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493402",
            "telephone_number": "469-904-3100",
            "fax_number": "972-685-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E GRUBB DR # 109",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493402",
            "telephone_number": "469-904-3100",
            "fax_number": "972-685-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFARIAN",
        "first_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J0016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "0056AZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128250101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.