Individual provider Active NPI

Kurosh Nikpour

  • Acute Care Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1295459550
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP143588 Issued in TX
Practice address
4116 Ridgecrest TRL
Carrollton, TX 75007-1626
Phone
(214) 202-1350
NPI assigned
Sep 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP143588 TX Primary

Addresses

Primary practice location

4116 Ridgecrest TRL
Carrollton, TX 75007-1626

Mailing address

4116 Ridgecrest TRL
Carrollton, TX 75007-1626
Phone (214) 202-1350

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915000003 TX Practitioner - Nurse Practitioner 1557725140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard G Buch MD PAGroup PAC ID 4981658820, 3 clinicians

Practice addresses (Care Compare)

4333 N Josey LN
Suite 100B
Carrollton, TX 75010-4620
Phone (469) 433-0924

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard G Buch MD PA CurrentSince Sep 1, 2024 Accepting new patients

Locations

4333 N Josey Ln
Ste 100B
Carrollton, TX 75010
Phone (469) 443-0924

4001 W 15th St
Ste 290
Plano, TX 75093
Phone (469) 443-0924

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.

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": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1295459550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 RIDGECREST TRL",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071626",
            "telephone_number": "214-202-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 RIDGECREST TRL",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071626",
            "telephone_number": "214-202-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKPOUR",
        "first_name": "KUROSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP143588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.