Active NPI
Sanaz Harirchian, MD
- Facial Plastic Surgery Physician
- Houston, TX
National Provider Identifier
1194986273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- Q1412
- Practice address
- 1200 Binz St
Suite 1200
Houston, TX 77004-6900 - Phone
- (713) 794-0368
- NPI assigned
- Jun 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME114987 | FL | |
| Facial Plastic Surgery Physician | 207YS0123X | Q1412 | TX | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | Q1412 | TX |
Addresses
Primary practice location
1200 Binz St
Suite 1200
Houston, TX 77004-6900
Mailing address
6400 Fannin St
Ste 2290
Houston, TX 77030-1543
Phone (713) 794-0368
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1412 | TX | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sean Boutros MD PLLC | Otolaryngology | Current | Accepting new patients |
Locations
6400 Fannin St
Ste 2290
Houston, TX 77030
Phone (713) 592-9900
9230 Katy Fwy
Ste 600
Houston, TX 77055
Phone (713) 790-0700
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1194986273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST",
"address_2": "STE 2290",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301543",
"telephone_number": "713-794-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BINZ ST",
"address_2": "SUITE 1200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046900",
"telephone_number": "713-794-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARIRCHIAN",
"first_name": "SANAZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME114987",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "TX",
"license": "Q1412",
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "TX",
"license": "Q1412",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.