NPIMap

Organization Active NPI

Arash Tirandaz MD PA

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1043480387
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J6768 Issued in TX
Legal business name
ARASH TIRANDAZ MD PA
Practice address
6124 W Parker Rd
Mob III Suite 234
Plano, TX 75093-8124
Phone
(972) 981-7500
Fax
(971) 981-3600
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mrs. Jennifer A Beck
Title
Practice Manager
Phone
(972) 981-7605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J6768 TX Primary

Addresses

Primary practice location

6124 W Parker Rd
Mob III Suite 234
Plano, TX 75093-8124

Mailing address

6124 W Parker Rd
Mob III Suite 234
Plano, TX 75093-8124
Phone (972) 981-7500

Other identifiers 4

IdentifierTypeStateIssuer
5602198OtherTXAETNA
0084RCOtherTXBCBS
0304156-01MedicaidTX
110130494OtherTXRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000513 TX Part B Supplier - Clinic/Group Practice 0244314383 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX; Frisco, 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
45D0924700Arash Tirandaz MD6124 W Parker Rd Ste 234, Plano, TX 75093Certificate of waiverFeb 5, 2027
45D2069134Internal Medicine Assoc & Arash Tirandaz, MD6124 W Parker Rd Suite 234, Plano, TX 75093ComplianceDec 30, 2027

National Provider Directory

National Provider Directory

Locations

6300 W Parker Rd
Bldg 2
Plano, TX 75093
Phone (469) 574-0464

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1043480387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "MOB III SUITE 234",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-981-7500",
            "fax_number": "971-981-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "MOB III SUITE 234",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-981-7500",
            "fax_number": "971-981-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARASH TIRANDAZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-981-7605",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5602198",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0084RC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304156-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110130494",
            "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 Jul 13, 2010; 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.