Active NPI
Farukh Gabriel Ikram, MD
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S6646
- Practice address
- 122 W Colorado Blvd
Dallas, TX 75208-2382 - Phone
- (214) 947-2385
- Fax
- (214) 947-2390
- NPI assigned
- May 18, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | S6646 | TX | Primary |
Addresses
Primary practice location
122 W Colorado Blvd
Dallas, TX 75208-2382
Mailing address
122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-2385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, TN, KY, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-2385
2100 N 7TH St
West Memphis, AR 72301-2017
Phone 214960568175
221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175
360 Amsden Ave
Versailles, KY 40383-1851
Phone (214) 960-5681
935 Wayne Rd
Savannah, TN 38372-1904
Phone 214960568175
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S6646 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Pulmonary & Critical Care PA | Current | Accepting new patients | |
| Physician Associates of Southwest Dallas | Internal Medicine | Current | Accepting new patients |
| Medhealth | Current | Accepting new patients | |
| Medhealth | Internal Medicine | Current | Accepting new patients |
| Columbia Medical Center of Plano Subsidiary LP | Past | Accepting new patients | |
| Methodist Hospitals of Dallas | Past | Accepting new patients |
Locations
2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400
Organizations & group practices 6
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.
-
dba Exceed Medical P.A.
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
AR, KY, TN
-
dba Methodist Medical Group
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
Internal Medicine
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Internal Medicine
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1063949212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W COLORADO BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082382",
"telephone_number": "214-947-2385",
"fax_number": "214-947-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W COLORADO BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082382",
"telephone_number": "214-947-2385",
"fax_number": "214-947-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKRAM",
"first_name": "FARUKH",
"middle_name": "GABRIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S6646",
"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 Oct 18, 2021; 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.