Individual provider Active NPI

Jehan Kohistani, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1144956558
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2701 S Hampton Rd Ste 101
Dallas, TX 75224-2363
Phone
(214) 330-9221
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2701 S Hampton Rd Ste 101
Dallas, TX 75224-2363

Mailing address

2701 S Hampton Rd Ste 101
Dallas, TX 75224-2363

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928003849 TX Practitioner - Physician Assistant 8123404167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metroplex Care GroupGroup PAC ID 8022239565, 20 clinicians

Practice addresses (Care Compare)

10050 Legacy Dr
Suite 400
Frisco, TX 75033-6740
Phone (469) 239-0205

700 N Pearl St
Suite N208
Dallas, TX 75201-7430
Phone (214) 999-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Care Group CurrentSince Sep 15, 2022 Accepting new patients
Manuel Griego Jr DO PA Past Accepting new patients

Locations

700 N Pearl St
Ste N208
Dallas, TX 75201
Phone (214) 855-0608

2701 S Hampton Rd
Ste 101
Dallas, TX 75224
Phone (214) 330-9221

700 N Pearl St
Ste N510
Dallas, TX 75201

10050 Legacy Dr
Ste 400
Frisco, TX 75033
Phone (469) 239-0205

Interoperability endpoints

  • Direct secure messaging: jehankohistani@gfmc.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1144956558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242363",
            "telephone_number": "214-330-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHISTANI",
        "first_name": "JEHAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.