NPIMap

Individual provider Active NPI

Jaffar A Zadeh, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1174628150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K4345 Issued in TX
Practice address
7777 Forest LN
Suite C-300
Dallas, TX 75230-2505
Phone
(972) 566-6000
Fax
(972) 566-6237
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K4345 TX Primary

Addresses

Primary practice location

7777 Forest LN
Suite C-300
Dallas, TX 75230-2505

Mailing address

PO Box 404390
Atlanta, GA 30384-4390
Phone (615) 373-7600

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
I20040802000349 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 5991776338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muenster Hospital DistrictGroup PAC ID 6608785993, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

605 N Maple St
Muenster, TX 76252-2424
Phone (940) 759-2271

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Muenster Hospital District Current Accepting new patients
Muenster Hospital District CurrentSince Jun 29, 2015 Accepting new patients
Muenster Hospital District CurrentSince Jun 29, 2015 Accepting new patients
Elite ER, PLLC Past Accepting new patients
NP Emergency Physicians PLLC Past Accepting new patients
Lonestar Provider Network Internal Medicine Past Accepting new patients
Trinity Trails Emergency Physicians Past Accepting new patients
Cedar Bluff Emergency Physicians Past Accepting new patients
Rush Creek Emergency Physicians PLLC PastSince Jan 19, 2025 Accepting new patients
Perc Emergency Physicians Past Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients
Campion Emergency Physicians PLLC Past Accepting new patients

Locations

605 N Maple St
Muenster, TX 76252
Phone (940) 759-2271

509 N Maple St
Muenster, TX 76252
Phone (940) 759-2226

Organizations & group practices 12

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.

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174628150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404390",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844390",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-6000",
            "fax_number": "972-566-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "JAFFAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.