Individual provider Active NPI

Farzad Kamyar, M.D.

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1295094316
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD193287 Issued in OR
Practice address
205 SE Spokane St
Portland, OR 97202-6487
Phone
(971) 232-3828
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17077 NV
Psychiatry Physician 2084P0800X MD193287 OR Primary

Addresses

Primary practice location

205 SE Spokane St
Portland, OR 97202-6487

Mailing address

2011 Pinto LN Ste 200
Las Vegas, NV 89106-4007

Other practice location 1

2011 Pinto Ln
Las Vegas, NV 89106-4004
Phone (702) 382-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD193287ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iriye Medical Group PLLC CurrentSince Nov 11, 2022 Accepting new patients

Locations

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

2011 Pinto Ln
Las Vegas, NV 89106
Phone (702) 382-3200

Interoperability endpoints

  • Direct secure messaging: farzad.kamyar.1@27017.direct.athenahealth.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1295094316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PINTO LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "971-232-3828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Pinto Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064004",
            "country_code": "US",
            "telephone_number": "702-382-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMYAR",
        "first_name": "FARZAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "17077",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD193287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.