Individual provider Active NPI

Nastaran Safdarian, MD

  • Allergy & Immunology Physician
  • Dallas, TX
National Provider Identifier
1144414434
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
P0286 Issued in TX
Practice address
8220 Walnut Hill LN
Suite 101
Dallas, TX 75231-4427
Phone
(214) 369-1901
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X P0286 TX Primary

Addresses

Primary practice location

8220 Walnut Hill LN
Suite 101
Dallas, TX 75231-4427

Mailing address

8220 Walnut Hill LN
Suite 101
Dallas, TX 75231-4427
Phone (214) 369-1901

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
I20111019000163 TX Practitioner - Allergy/Immunology 0840365045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandeep Gupta, MD, PAGroup PAC ID 2365411741, 10 clinicians

Practice addresses (Care Compare)

5068 W Plano Pkwy
Suite 300
Plano, TX 75093-4409
Phone (972) 596-4383

8210 Walnut Hill LN
Dallas, TX 75231-4421
Phone (214) 369-1901

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Gupta, MD, PA CurrentSince Aug 23, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3417 Gaston Ave
Ste 760
Dallas, TX 75246
Phone (214) 369-1907

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

8220 Walnut Hill Ln
Ste 101
Dallas, TX 75231
Phone (214) 368-6707

5068 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 447-8330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1144414434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-369-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-369-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDARIAN",
        "first_name": "NASTARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "P0286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.