Active NPI
Nazanin Moossavi, M.D
- Family Medicine Physician
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BP10040027
- Practice address
- 1301 3Rd St
Ste#200
Wichita Falls, TX 76301-2245 - Phone
- (214) 709-3440
- NPI assigned
- Jun 23, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10040027 | TX | Primary |
Addresses
Primary practice location
1301 3Rd St
Ste#200
Wichita Falls, TX 76301-2245
Mailing address
11519 Harbor Rd
Frisco, TX 75035-5868
Phone (214) 709-3440
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1208 Village Creek Dr
Suite 104
Plano, TX 75093-4452
Phone (214) 974-4710
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10040027 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avesta Medical Services, PLLC | Family Medicine | Current | Accepting new patients |
Locations
1208 Village Creek Dr
Ste 104
Plano, TX 75093
Phone (214) 974-4710
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIAGCD/Endpoint/GIAGCD
- nazanin.moossavi@amsp.eclinicaldirectplus.com
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1033461553
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- Home Health Agency
- Dallas, TX
- NPI 1255957619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1255627774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11519 HARBOR RD",
"city": "FRISCO",
"state": "TX",
"postal_code": "750355868",
"telephone_number": "214-709-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 3RD ST",
"address_2": "STE#200",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763012245",
"telephone_number": "214-709-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOSSAVI",
"first_name": "NAZANIN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10040027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.