NPIMap

Individual provider Active NPI

Fardin Djafari, M.D.

  • Cardiovascular Disease Physician
  • Wichita Falls, TX
National Provider Identifier
1043298391
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L0134 Issued in TX
Practice address
1631 11TH St
Wichita Falls, TX 76301-4320
Phone
(940) 687-4700
Fax
(940) 687-5000
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L0134 TX Primary

Addresses

Primary practice location

1631 11TH St
Wichita Falls, TX 76301-4320

Mailing address

1631 11TH St
Wichita Falls, TX 76301-4320
Phone (940) 687-4700

Other identifiers 1

IdentifierTypeStateIssuer
0421737-02MedicaidTX

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
I20100422000596 TX Practitioner - Cardiovascular Disease (Cardiology) 8022195718 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Regional Health Care System IncGroup PAC ID 7315846813, 7 clinicians
United Regional Physician GroupGroup PAC ID 2163417478, 106 clinicians

Practice addresses (Care Compare)

1600 11TH St
Wichita Falls, TX 76301-4388
Phone (940) 764-3055

1631 11TH St
Wichita Falls, TX 76301-4322
Phone (940) 687-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as individual
Quality
90.96
Promoting interoperability
93
Improvement activities
40
Cost
69.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0134TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fardin Djafari MD PLLC Cardiovascular Disease CurrentSince Nov 1, 2010 Accepting new patients
United Regional Physician Group CurrentSince Feb 1, 2026 Accepting new patients
United Regional Health Care System Inc CurrentSince May 24, 2012 Accepting new patients

Locations

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1631 11th St
Unit B
Wichita Falls, TX 76301
Phone (940) 263-3000

1631 11th St
Wichita Falls, TX 76301
Phone (940) 687-5000

501 Midwestern Pkwy E
Wichita Falls, TX 76302
Phone (940) 766-3551

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/electra-731fa6f6
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4
  • Direct secure messaging: fdjafari13669@unitedregional.medalliesdirect.net
  • Direct secure messaging: fardin.djafari.1@12879.direct.athenahealth.com
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1043298391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014320",
            "telephone_number": "940-687-4700",
            "fax_number": "940-687-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014320",
            "telephone_number": "940-687-4700",
            "fax_number": "940-687-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAFARI",
        "first_name": "FARDIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L0134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421737-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.