Individual provider Active NPI

Arif Noorbaksh, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1275912255
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T3675 Issued in TX
Practice address
539 W Commerce St Ste 1184
Dallas, TX 75208-1953
Phone
(469) 678-8787
Fax
(866) 449-2950
NPI assigned
May 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T3675 TX Primary

Addresses

Primary practice location

539 W Commerce St Ste 1184
Dallas, TX 75208-1953

Mailing address

4213 Dickason Ave Apt 28
Dallas, TX 75219-3533

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
I20220607002253 TX Practitioner - Psychiatry 3678951464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuity Mental Health PLLCGroup PAC ID 1557899556, 11 clinicians

Practice addresses (Care Compare)

539 W Commerce St
Dallas, TX 75208-1953
Phone (469) 678-8787

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T3675TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Continuity Mental Health, PLLC Psychiatry CurrentSince Nov 7, 2024 Accepting new patients
Kotel Atx CurrentSince Jun 2, 2022 Accepting new patients

Locations

539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352

2800 E Highway 114
Ste 350
Trophy Club, TX 76262
Phone (817) 490-7856

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

Organizations & group practices 2

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": "1432425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1275912255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 DICKASON AVE APT 28",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST STE 1184",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "469-678-8787",
            "fax_number": "866-449-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORBAKSH",
        "first_name": "ARIF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-24",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.