Individual provider Active NPI

Ladan Bakhtari, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1275602799
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8447 Issued in TX
Practice address
5941 Dallas Pkwy
Plano, TX 75093-9001
Phone
(972) 758-4455
Fax
(972) 758-4433
NPI assigned
Nov 7, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 J8447 TX Primary

Addresses

Primary practice location

5941 Dallas Pkwy
Plano, TX 75093-9001

Mailing address

5941 Dallas Pkwy
Plano, TX 75093-9001
Phone (972) 758-4455

Other identifiers 2

IdentifierTypeStateIssuer
046492701MedicaidTX
83881YOtherTXBCBS

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
I20100922000724 TX Practitioner - Internal Medicine 1355424003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Internal Medicine PAGroup PAC ID 5092750620, 27 clinicians

Practice addresses (Care Compare)

5941 Dallas Pkwy
Suite 100
Plano, TX 75093-9002
Phone (972) 758-4455

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8447TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Internal Medicine PLLC Internal Medicine CurrentSince Nov 3, 1999 Accepting new patients

Locations

240 Adriatic Pkwy
McKinney, TX 75072
Phone (972) 369-1471

525 Shiloh Rd
Ste 3100
Plano, TX 75074
Phone 90389351414355

5941 Dallas Pkwy
Plano, TX 75093
Phone (972) 758-4455

5941 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (972) 758-4455

Interoperability endpoints

  • Direct secure messaging: ladan.bakhtari@doim.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, 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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1275602799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939001",
            "telephone_number": "972-758-4455",
            "fax_number": "972-758-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939001",
            "telephone_number": "972-758-4455",
            "fax_number": "972-758-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTARI",
        "first_name": "LADAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046492701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83881Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.