Individual provider Active NPI

Saeid Esmaeily Aryan, D.O

  • Neurological Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1144487174
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
P9148 Issued in TX
Practice address
9525 N Beach St Ste 405
Fort Worth, TX 76244-6438
Phone
(817) 502-7411
Fax
(817) 502-7412
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X P9148 TX Primary

Addresses

Primary practice location

9525 N Beach St Ste 405
Fort Worth, TX 76244-6438

Mailing address

1110 E State Highway 114
Ste 100
Southlake, TX 76092-5251
Phone (817) 502-7411

Other practice location 1

1000 Medical Center Dr
Decatur, TX 76234-3834
Phone (817) 502-7411

Other practice location 2

2435 W Oak St Ste 101
Denton, TX 76201-4313
Phone (817) 502-7411

Other practice location 3

1110 E State Highway 114 Ste 100
Southlake, TX 76092-5251
Phone (817) 502-7411

Other identifiers 2

IdentifierTypeStateIssuer
341503601MedicaidTX
8EM652OtherTXBCBS

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
I20141106000557 TX Practitioner - Neurosurgery 3173760063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Brain and Back Institute PLLCGroup PAC ID 0042432015, 6 clinicians

Practice addresses (Care Compare)

9525 N Beach St
Suite 405
Fort Worth, TX 76244-6438
Phone (817) 502-7411

Hospital & facility affiliations

  • Legent Orthopedic Hospital Hospital, Grapevine, TX, CCN 670265
  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion176
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9148TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Brain and Back Institute PLLC Neurological Surgery CurrentSince Feb 19, 2014 Accepting new patients
Axis Surgery Center, LLC PastSince Dec 20, 2020 Accepting new patients
Keller Premier Anesthesia, PLLC PastSince Oct 1, 2019 Accepting new patients

Locations

1000 Medical Center Dr
Decatur, TX 76234
Phone (940) 539-8510

2435 W Oak St
Ste 101
Denton, TX 76201
Phone (940) 299-4263

9525 N Beach St
Ste 405
Fort Worth, TX 76244
Phone (940) 626-8073

3124 N Tarrant Pkwy
Ste 200
Ft Worth, TX 76177
Phone (817) 502-7323

1110 E State Highway 114
Ste 150
Southlake, TX 76092
Phone (714) 766-5882

1110 E State Highway 114
Ste 100
Southlake, TX 76092
Phone (817) 756-9892

Organizations & group practices 3

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 4

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1144487174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114",
            "address_2": "STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925251",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 N BEACH ST STE 405",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446438",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343834",
            "country_code": "US",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 W Oak St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762014313",
            "country_code": "US",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 E State Highway 114 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760925251",
            "country_code": "US",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARYAN",
        "first_name": "SAEID",
        "middle_name": "ESMAEILY",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "P9148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341503601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EM652",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.