Individual provider Active NPI

Roya Seysan, MD

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1174541999
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5896 Issued in TX
Practice address
2261 Olympia Dr
Flower Mound, TX 75028-1857
Phone
(972) 691-8585
Fax
(972) 691-8686
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J5896 TX Primary

Addresses

Primary practice location

2261 Olympia Dr
Flower Mound, TX 75028-1857

Mailing address

2261 Olympia Dr
Suite 100
Flower Mound, TX 75028-1857
Phone (972) 691-8585

Other names 1

  • Roya Seysan-Sabour Other name

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
I20051014000637 TX Practitioner - Family Practice 4587680996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2261 Olympia Dr
Flower Mound, TX 75028-1857

2261 Olympia Dr
Suite 100
Flower Mound, TX 75028-1896
Phone (972) 691-8585

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

Merit-based Incentive Payment System (MIPS)

Final score
22.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5896TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flower Mound Medical Center, LLC Family Medicine CurrentSince Dec 21, 2007 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

2261 Olympia Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 691-8585

2261 Olympia Dr
Flower Mound, TX 75028
Phone (972) 691-8585

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 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1174541999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 OLYMPIA DR",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281857",
            "telephone_number": "972-691-8585",
            "fax_number": "972-691-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 OLYMPIA DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281857",
            "telephone_number": "972-691-8585",
            "fax_number": "972-691-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYSAN",
        "first_name": "ROYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROYA",
            "last_name": "SEYSAN-SABOUR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.