Organization Active NPI

Karim M. Meghani, MD, PA

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1114217403
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J9205 Issued in TX
Legal business name
KARIM M. MEGHANI, MD, PA
Practice address
425 Alabama Ave
Fort Worth, TX 76104-1022
Phone
(817) 820-3502
Fax
(817) 820-3505
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Karim Meghani, MDNPI 1184661654
Title
President
Phone
(817) 820-3502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X J9205 TX Primary

Addresses

Primary practice location

425 Alabama Ave
Fort Worth, TX 76104-1022

Mailing address

PO Box 93267
Southlake, TX 76092-0112
Phone (817) 820-3502

Other identifiers 8

IdentifierTypeStateIssuer
5672381OtherTXAETNA NUMBER
89Y320OtherTXHMO BLUE #
00T18MOtherTXMEDICARE
250007058OtherTXMEDICARE RAILROAD
035953101OtherTXTPI NUMBER
035953101MedicaidTX
4113420OtherTXBLUE LINK #
8050734002OtherTXCIGNA PAL ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110512000875 TX Part B Supplier - Clinic/Group Practice 4385820042 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1114217403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93267",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920112",
            "telephone_number": "817-820-3502",
            "fax_number": "817-820-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ALABAMA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041022",
            "telephone_number": "817-820-3502",
            "fax_number": "817-820-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIM M. MEGHANI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "MEGHANI",
        "authorized_official_first_name": "KARIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-820-3502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J9205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "5672381",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE #",
            "identifier": "89Y320",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00T18M",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250007058",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI NUMBER",
            "identifier": "035953101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035953101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK #",
            "identifier": "4113420",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PAL ID #",
            "identifier": "8050734002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.