Individual provider Active NPI

Iraj Hassan, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1033778832
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T4383 Issued in TX
Practice address
12377 Merit Dr
Dallas, TX 75251-2224
Phone
(972) 590-8966
Fax
(812) 450-3071
NPI assigned
Jun 6, 2019
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 T4383 TX Primary

Addresses

Primary practice location

12377 Merit Dr
Dallas, TX 75251-2224

Mailing address

701 S Stemmons Fwy
Lewisville, TX 75067-4547
Phone (812) 450-3363

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
I20221103002673 TX Practitioner - Family Practice 8820321318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topcare Medical Group IncGroup PAC ID 8426239153, 71 clinicians

Practice addresses (Care Compare)

1120 E Parker Rd
195 Clinicas Mi Doctor
Plano, TX 75074-5374
Phone (469) 298-1216

701 S Stemmons Fwy
Suite 260
Lewisville, TX 75067-4591
Phone (972) 316-6495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T4383TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical PA CurrentSince Apr 2, 2012 Accepting new patients
Topcare Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Topcare Medical Group Inc PastSince Mar 27, 2022 Accepting new patients
Deaconess Hospital, Inc. Family Medicine Past Accepting new patients

Locations

12377 Merit Dr
Ste 300
Dallas, TX 75251

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

701 S Stemmons Fwy
Lewisville, TX 75067
Phone (972) 316-6495

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1033778832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S STEMMONS FWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674547",
            "telephone_number": "812-450-3363",
            "fax_number": "812-450-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512224",
            "telephone_number": "972-590-8966",
            "fax_number": "812-450-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "IRAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.