NPIMap

Individual provider Active NPI

Michael Nazarian, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Worth, TX
National Provider Identifier
1245401637
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
P7962 Issued in TX
Practice address
757 8TH Ave
Suite a
Fort Worth, TX 76104-2522
Phone
(817) 336-4454
Fax
(817) 336-4440
NPI assigned
Mar 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 229663 MA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X P7962 TX Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 261140 NY

Addresses

Primary practice location

757 8TH Ave
Suite a
Fort Worth, TX 76104-2522

Mailing address

757 8TH Ave
Suite a
Fort Worth, TX 76104-2522
Phone (817) 336-4454

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
I20140130000243 TX Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 0648409318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Surgery, Thoracic Surgery, Vascular Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Nazarian MD AssociatesGroup PAC ID 5294964896, 2 clinicians

Practice addresses (Care Compare)

757 8TH Ave a
Fort Worth, TX 76104-2522
Phone (817) 336-4454

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229663MAMDClinical Social Worker
261140NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Nazarian Heart & Vascular Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Modern Cardiac Clinic PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Michael Nazarian MD, Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 14, 2013 Accepting new patients

Locations

757 8th Ave
Ft Worth, TX 76104
Phone (617) 671-8448

757 8th Ave
Ste A
Ft Worth, TX 76104
Phone (817) 336-4454

Organizations & group practices 3

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 5

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1245401637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 8TH AVE",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042522",
            "telephone_number": "817-336-4454",
            "fax_number": "817-336-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 8TH AVE",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042522",
            "telephone_number": "817-336-4454",
            "fax_number": "817-336-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "229663",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "P7962",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "261140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.