Individual provider Active NPI

Hangameh Dehbozorgi, DO

  • Internal Medicine Physician
  • Richardson, TX
National Provider Identifier
1265920276
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T1681 Issued in TX
Practice address
1080 W Campbell Rd Ste 100
Richardson, TX 75080-2989
Phone
(972) 468-9999
NPI assigned
Apr 25, 2018
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T1681 TX Primary

Addresses

Primary practice location

1080 W Campbell Rd Ste 100
Richardson, TX 75080-2989

Mailing address

1080 W Campbell Rd Ste 100
Richardson, TX 75080-2989

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
I20211019001178 TX Practitioner - Internal Medicine 5991054181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of Plano PAGroup PAC ID 0143395343, 26 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Plano, TX 75093-8124
Phone (972) 981-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1681TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arash Tirandaz MD PA Single Specialty Current Accepting new patients
Healthtexas Provider Network Single Specialty CurrentSince Oct 25, 2021 Accepting new patients
Internal Medicine Associates of Plano PA Single Specialty CurrentSince May 1, 2024 Accepting new patients
Healthtexas Provider Network Single Specialty CurrentSince Oct 25, 2021 Accepting new patients

Locations

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

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

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050

6124 W Parker Rd
Ste 230
Plano, TX 75093
Phone (972) 398-0393

6124 W Parker Rd
Ste 234
Plano, TX 75093
Phone (972) 468-9999

1080 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (972) 468-9999

Interoperability endpoints

  • Direct secure messaging: hdehbozorgi876627@direct.sw.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICDEAA

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1265920276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 W CAMPBELL RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W CAMPBELL RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802989",
            "telephone_number": "972-468-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHBOZORGI",
        "first_name": "HANGAMEH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T1681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.