Individual provider Active NPI

Maryam Zamanian, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Dallas, TX
National Provider Identifier
1174508311
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
M0612 Issued in TX
Practice address
3600 Gaston Ave
Suite 454
Dallas, TX 75246-1800
Phone
(214) 820-8940
Fax
(214) 820-8944
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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 M0612 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X M0612 TX Primary

Addresses

Primary practice location

3600 Gaston Ave
Suite 454
Dallas, TX 75246-1800

Mailing address

3600 Gaston Ave
Suite 454
Dallas, TX 75246-1800
Phone (214) 820-8940

Other identifiers 4

IdentifierTypeStateIssuer
175940904MedicaidTX
8S0451OtherTXBCBS
8W2882OtherTXBCBSTX
175940901MedicaidTX

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
I20121112000097 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 8921053653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1600 Coit Rd
Suite 208C
Plano, TX 75075-6140
Phone (972) 998-6711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0612TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perioperative and Transitional Medicine Group PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Endocrinology and Diabetes Specialist PA CurrentSince May 1, 2014 Accepting new patients
Swdic Imaging Center Partnership, LLP Past Accepting new patients
Endocrinology and Diabetes Specialist PA PastSince Aug 2, 2012 Accepting new patients
MD on Call PA Internal Medicine Past Accepting new patients
Swdic Imaging Center Partnership, LLP Past Accepting new patients
NP Emergency Physicians PLLC Past Accepting new patients

Locations

11970 N Central Expy
Ste 630
Dallas, TX 75243
Phone (469) 806-0777

8220 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 238-3074

1600 Coit Rd
Ste 208C
Plano, TX 75075
Phone (972) 964-5514

Interoperability endpoints

  • Direct secure messaging: maryamz@eadsp-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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 1

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1174508311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-820-8940",
            "fax_number": "214-820-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-820-8940",
            "fax_number": "214-820-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMANIAN",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0612",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "M0612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175940904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S0451",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8W2882",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175940901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.