Panthea Razazi Khiabani

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1019955 Issued in TX

Practice address

5670 Gadwall Dr
Frisco, TX 75034-5066

Phone

(682) 553-7966

NPI assigned

Jul 12, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mzhealth LLCGroup PAC ID 8820366362, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mzhealth LLC

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1427584366
  Medicare reassignment Care Compare group NPD
• Pinnacle Neurology PLLC

  • Neurology Physician
  • Plano, TX
  • NPI 1811777824
  Medicare reassignment NPD
• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620
  Medicare reassignment NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1174360531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 GADWALL DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 GADWALL DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345066",
            "telephone_number": "682-553-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZAZI KHIABANI",
        "first_name": "PANTHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1019955",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1019955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rawls
• Matthew Rawson
• Austin Ray
• Briana Rayford
• Rayman Medical Transport LLC
• Ready Trans Limited Liability
• Rebalance Wellness Solutions, LLC (ReBalance Physical Therapy)
• Reboot Investments LLC (VetCare IOP)
• Emily Record, MMT, MT-BC
• Adolfo Recto, R.N.

• Gerontology Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.