NPIMap

Individual provider Active NPI

Siavosh Vafadari, MD

  • Internal Medicine Physician
  • Cleburne, TX
National Provider Identifier
1154732030
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5948 Issued in TX
Practice address
1301 W Henderson St
Cleburne, TX 76033-5100
Phone
(817) 558-3937
Fax
(817) 422-0862
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10050812 TX
Internal Medicine Physician 207R00000X R5948 TX Primary

Addresses

Primary practice location

1301 W Henderson St
Cleburne, TX 76033-5100

Mailing address

1301 W Henderson St
Cleburne, TX 76033-5100
Phone (817) 558-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030002530 TX Practitioner - Internal Medicine 0042591919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

220 N Ridgeway Dr
Wellmed at Cleburne
Cleburne, TX 76033-4115
Phone (817) 556-4800

4001 W 15TH St
245 Usmd Plano W
Plano, TX 75093-5839
Phone (972) 596-5222

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Fort Worth, TX, CCN 679167
  • DFW Home Health Arlington Home health agency, Arlington, TX, CCN 457818
  • Renew Home Health Home health agency, Fort Worth, TX, CCN 457893
  • Restoring Function HHC LLC Home health agency, Burleson, TX, CCN 747775
  • Texas Health Harris Methodist Hospital Cleburne Hospital, Cleburne, TX, CCN 450148
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10050812TXMDInternal Medicine Physician
R5948TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Oct 29, 2018 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 29, 2018 Accepting new patients

Locations

220 N Ridgeway Dr
Cleburne, TX 76033
Phone (817) 556-4800

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • Direct secure messaging: siavosh.vafadari@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 8

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1154732030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W HENDERSON ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335100",
            "telephone_number": "817-558-3937",
            "fax_number": "817-422-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W HENDERSON ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335100",
            "telephone_number": "817-558-3937",
            "fax_number": "817-422-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAFADARI",
        "first_name": "SIAVOSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10050812",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R5948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.