Organization Active NPI

Avesta Medical Services, PLLC

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1033461553
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5897 Issued in TX
Legal business name
AVESTA MEDICAL SERVICES, PLLC
Practice address
1208 Village Creek Dr Ste 104
Plano, TX 75093-4452
Phone
(214) 974-4710
NPI assigned
Oct 8, 2012
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Dr. Parvane Rashidi-Birgani, MDNPI 1477668275
Title
President
Phone
(214) 974-4710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X M5897 TX Primary

Addresses

Primary practice location

1208 Village Creek Dr Ste 104
Plano, TX 75093-4452

Mailing address

PO Box 250348
Plano, TX 75025-0348
Phone (214) 974-4710

Other identifiers 1

IdentifierTypeStateIssuer
1477668275OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121022000470 TX Part B Supplier - Clinic/Group Practice 9436309788 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2259872Avesta Medical Services, PLLC1208 Village Creeks Dr Suite 104, Plano, TX 75093Certificate of waiverMay 11, 2028

National Provider Directory

National Provider Directory

Locations

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1033461553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250348",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250348",
            "telephone_number": "214-974-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 VILLAGE CREEK DR STE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934452",
            "telephone_number": "214-974-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVESTA MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "RASHIDI-BIRGANI",
        "authorized_official_first_name": "PARVANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-974-4710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477668275",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.