Active NPI
Iraj Hassan, MD
- Family Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T4383
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| T4383 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical PA | Current | Accepting new patients | |
| Topcare Medical Group Inc | Current | Accepting new patients | |
| Topcare Medical Group Inc | Past | 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.
-
dba Deaconess Family Medicine Residency
- Family Medicine Physician
- Evansville, IN
- NPI 1629097639
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.