Individual provider Active NPI

Shahram Shawn Yari

  • Orthopaedic Hand Surgery Physician
  • McKinney, TX
National Provider Identifier
1063807352
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
T3414 Issued in TX
Practice address
5220 W University Dr
McKinney, TX 75071-7064
Phone
(469) 800-7200
Fax
(469) 800-7210
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Hand Surgery Physician 207XS0106X T3414 TX Primary

Addresses

Primary practice location

5220 W University Dr
McKinney, TX 75071-7064

Mailing address

5220 W University Dr
McKinney, TX 75071-7064
Phone (469) 800-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address syari63604@direct.sw.org

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
I20211021001258 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 3476970500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Baylor College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550

1400 8TH Ave
Fort Worth, TX 76104-4110

4001 Worth St
Dallas, TX 75246-1608

5220 W University Dr
220 Baylor Scott and White Orthopaedic Trauma
McKinney, TX 75071-7074
Phone (469) 800-5220

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Baylor Scott & White Medical Center - Centennial Hospital, Frisco, TX, CCN 450885
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T3414TXMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 25, 2021 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Oct 25, 2021 Accepting new patients
Healthtexas Provider Network PastSince Nov 21, 2021 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

5220 W University Dr
Ste 300
McKinney, TX 75071

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: syari63604@direct.sw.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1063807352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717064",
            "telephone_number": "469-800-7200",
            "fax_number": "469-800-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717064",
            "telephone_number": "469-800-7200",
            "fax_number": "469-800-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARI",
        "first_name": "SHAHRAM",
        "middle_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "T3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syari63604@direct.sw.org",
            "affiliation": "N",
            "address_1": "5220 W University Dr",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750717064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.