Individual provider Active NPI

Dinara Triantafyllou

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1104211002
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD467610 Issued in PA
Practice address
One Baylor Plaza, Bcm350
Houston, TX 77030-3411
Phone
(713) 798-4872
NPI assigned
Mar 30, 2015
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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 NU
Psychiatry Physician 2084P0800X MD467610 PA Primary

Addresses

Primary practice location

One Baylor Plaza, Bcm350
Houston, TX 77030-3411

Mailing address

One Baylor Plaza, Bcm350
Houston, TX 77030-3411
Phone (713) 798-4872

Other names 1

  • Dinara Yangirova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191111002347 PA Practitioner - Psychiatry 8921430026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Behavioral Health Hospital LLCGroup PAC ID 9234492059, 14 clinicians

Practice addresses (Care Compare)

333 Harrisburg Ave
Lancaster, PA 17603-2951
Phone (717) 925-2750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Behavioral Health Hospital LLC CurrentSince Sep 14, 2019 Accepting new patients

Locations

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

Interoperability endpoints

  • Direct secure messaging: dtriantafyllou193179@direct-lghealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1104211002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZA, BCM350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZA, BCM350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIANTAFYLLOU",
        "first_name": "DINARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD467610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINARA",
            "last_name": "YANGIROVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.