NPIMap

Individual provider Active NPI

Mohammed Khosravi Parvari, M.D.

  • Internal Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1326020405
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H8704 Issued in TX
Practice address
1501 Midwestern Pkwy Ste 107
Wichita Falls, TX 76302-1500
Phone
(940) 723-8557
Fax
(940) 767-3941
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 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 H8704 TX Primary

Addresses

Primary practice location

1501 Midwestern Pkwy Ste 107
Wichita Falls, TX 76302-1500

Mailing address

1501 Midwestern Pkwy Ste 107
Wichita Falls, TX 76302-1500
Phone (940) 723-8557

Other identifiers 2

IdentifierTypeStateIssuer
098562401MedicaidTX
60076040OtherTXCONTROLLED SUBSTANCE CERT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000182 TX Practitioner - Internal Medicine 0648173021 Practice locations: Wichita Falls, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 Midwestern Pkwy
Suite 107
Wichita Falls, TX 76302-1500
Phone (940) 723-8557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.91 of 100Reported as individual
Quality
70.88
Improvement activities
40
Cost
75.2

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: mparvari14442@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 6

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1326020405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MIDWESTERN PKWY STE 107",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763021500",
            "telephone_number": "940-723-8557",
            "fax_number": "940-767-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MIDWESTERN PKWY STE 107",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763021500",
            "telephone_number": "940-723-8557",
            "fax_number": "940-767-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVARI",
        "first_name": "MOHAMMED",
        "middle_name": "KHOSRAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098562401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE CERT",
            "identifier": "60076040",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.