Individual provider Active NPI

Bahareh Rezazadeh, MD

  • Rheumatology Physician
  • Frisco, TX
National Provider Identifier
1265636849
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
N4036 Issued in TX
Practice address
4461 Coit Rd
Suite 402
Frisco, TX 75035-0521
Phone
(214) 297-0099
Fax
(214) 297-0096
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X N4036 TX Primary

Addresses

Primary practice location

4461 Coit Rd
Suite 402
Frisco, TX 75035-0521

Mailing address

4461 Coit Rd
Suite 402
Frisco, TX 75035-0521
Phone (214) 297-0099

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000200 TX Practitioner - Rheumatology 0749328995 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis and Rheumatology Institute, PLLCGroup PAC ID 0941540496, 7 clinicians

Practice addresses (Care Compare)

3550 Parkwood Blvd
Suite 405
Frisco, TX 75034-1905
Phone (972) 798-8553

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4036TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Rheumatology Current Accepting new patients
Arthritis and Rheumatology Institute, PLLC Rheumatology CurrentSince Feb 10, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 15, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 15, 2022 Accepting new patients
Rheumatology Associates & Subsidiary Rheumatology CurrentSince Jan 1, 2018 Accepting new patients
Utmb Faculty Group Practice CurrentSince Nov 1, 2009 Accepting new patients
Neurology Associates of Arlington, P.a. Past Accepting new patients

Locations

981 State Highway 121
Ste 3150
Allen, TX 75013
Phone (972) 798-5883

1001 N Waldrop Dr
Ste 816
Arlington, TX 76012

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

9101 N Central Expy
Ste 300
Dallas, TX 75231
Phone (214) 363-2305

3550 Parkwood Blvd
Ste 405
Frisco, TX 75034
Phone (469) 287-8800

4461 Coit Rd
Ste 402
Frisco, TX 75035
Phone (214) 297-0099

8501 Wade Blvd
Ste 820
Frisco, TX 75034

4461 Coit Rd
Ste 315
Frisco, TX 75035
Phone (972) 731-9900

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Interoperability endpoints

  • Direct secure messaging: bahareh.rezazadeh.1@14315.direct.athenahealth.com

Organizations & group practices 7

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1265636849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 COIT RD",
            "address_2": "SUITE 402",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350521",
            "telephone_number": "214-297-0099",
            "fax_number": "214-297-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 COIT RD",
            "address_2": "SUITE 402",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350521",
            "telephone_number": "214-297-0099",
            "fax_number": "214-297-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAZADEH",
        "first_name": "BAHAREH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "N4036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.