Individual provider Active NPI

Farukh Gabriel Ikram, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1063949212
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S6646 Issued in TX
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

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200812002646 TX Practitioner - Internal Medicine 8820354699 Reassigns benefits to 3 organizations
I20250912001964 TN Practitioner - Internal Medicine 8820354699 Reassigns benefits to 1 organization
I20250916003018 KY Practitioner - Internal Medicine 8820354699 Reassigns benefits to 1 organization
I20251119003181 AR Practitioner - Internal Medicine 8820354699 Reassigns benefits to 1 organization

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
MedhealthGroup PAC ID 9931001567, 435 clinicians
Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians

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

LicenseStateTypeSpecialty
S6646TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Pulmonary & Critical Care PA CurrentSince Mar 12, 2025 Accepting new patients
Physician Associates of Southwest Dallas Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Medhealth CurrentSince Oct 1, 2020 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.