Organization Active NPI

Davanloo Geriatrics & Primarycare PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Arlington, TX
National Provider Identifier
1326900655
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
DAVANLOO GERIATRICS & PRIMARYCARE PLLC
Practice address
1100 Orchard Dr Ste a
Suite a
Arlington, TX 76012-2519
Phone
(682) 241-1881
Fax
(682) 241-1891
NPI assigned
Nov 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Hedieh Davanloo, MDNPI 1659567758
Title
Ceo
Phone
(682) 241-1881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

1100 Orchard Dr Ste a
Suite a
Arlington, TX 76012-2519

Mailing address

1100 Orchard Dr Ste a
Arlington, TX 76012-2519
Phone (682) 241-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260114001161 TX Part B Supplier - Clinic/Group Practice 1951887561 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2338869Davanloo Geriatrics & Primarycare PLLC1100 Orchard Dr. Suite a, Arlington, TX 76012Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1326900655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ORCHARD DR STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122519",
            "telephone_number": "682-241-1881",
            "fax_number": "682-241-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ORCHARD DR STE A",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122519",
            "telephone_number": "682-241-1881",
            "fax_number": "682-241-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVANLOO GERIATRICS & PRIMARYCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "DAVANLOO",
        "authorized_official_first_name": "HEDIEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-241-1881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.