Alireza Allen Shakouri, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

N2294 Issued in TX

Practice address

900 E Southlake Blvd
Ste 300
Southlake, TX 76092-6375

Phone

(817) 421-0770

Fax

(817) 424-8431

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

University of Texas Southwestern Medical School at Dallas, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Regional Asthma and Allergy CenterGroup PAC ID 7719084359, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Texas Regional Asthma & Allergy Center

  • Allergy Physician
  • Southlake, TX
  • NPI 1568545739

  Specialist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1366652208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E SOUTHLAKE BLVD",
            "address_2": "STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926375",
            "telephone_number": "817-421-0770",
            "fax_number": "817-421-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SOUTHLAKE BLVD",
            "address_2": "STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926375",
            "telephone_number": "817-421-0770",
            "fax_number": "817-424-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3349 Golden Triangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761777165",
            "country_code": "US",
            "telephone_number": "817-421-0770",
            "fax_number": "817-562-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKOURI",
        "first_name": "ALIREZA",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N2294",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "N2294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Catherine Sgroi
• Ty Douglas Shafer, D.D.S.
• Gunjankumar Shah, PT
• Vishal Shah, M.D.
• Lori Ann Shahidi, DO
• Karolina Shander, PHD
• Shaner Speech Pathology
• Anita Priya Shankar, M.D.
• Nathan Shaw
• Kennedy Shawber, FNP

• Allergy Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Allergy Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.