Individual provider Active NPI

Yadollah Harati, MD

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1205916566
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
E5778 Issued in TX
Practice address
6550 Fannin St
Suite 1801
Houston, TX 77030-2717
Phone
(713) 798-5975
Fax
(713) 798-5864
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E5778 TX
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X E5778 TX Primary

Addresses

Primary practice location

6550 Fannin St
Suite 1801
Houston, TX 77030-2717

Mailing address

PO Box 4850
Houston, TX 77210-4850
Phone (713) 798-5995

Other identifiers 1

IdentifierTypeStateIssuer
125021904MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yharati10846@bcm.ghhdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110215000280 TX Practitioner - Neurology 5496935082 Reassigns benefits to 1 organization
I20170116000269 CA Practitioner - Neurology 5496935082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

2 Greenway PLZ
Suite 900
Houston, TX 77046-0205

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Dec 23, 2016 Accepting new patients
Regents of the University of California Neurology CurrentSince Dec 23, 2016 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Organizations & group practices 4

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 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1205916566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4850",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104850",
            "telephone_number": "713-798-5995",
            "fax_number": "713-798-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1801",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-798-5975",
            "fax_number": "713-798-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARATI",
        "first_name": "YADOLLAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E5778",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "E5778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125021904",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yharati10846@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "7200 Cambridge St Fl 9",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.