Individual provider Active NPI

Michael Ghazarian, M.D.

  • Diagnostic Radiology Physician
  • Addison, TX
National Provider Identifier
1376835371
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q7195 Issued in TX
Practice address
14679 Midway Rd Ste 206
Addison, TX 75001-3197
Phone
(469) 317-9900
NPI assigned
May 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Q7195 TX Primary

Addresses

Primary practice location

14679 Midway Rd Ste 206
Addison, TX 75001-3197

Mailing address

PO Box 740608
Dallas, TX 75374-0608
Phone (469) 317-9900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170610000009 TX Practitioner - Diagnostic Radiology 6901174259 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

Whitehouse, TX 75791
Phone (480) 306-6949

1501 River Pointe Dr
Suite 180
Conroe, TX 77304-2865
Phone (832) 838-4185

16550 Southwest Fwy
Suite C
Sugar Land, TX 77479-2328
Phone (346) 900-8010

2256 W Holcombe Blvd
Simonmed Imaging Med Center
Houston, TX 77030-2008
Phone (346) 335-8519

24600 Katy Fwy
Katy, TX 77494-7805
Phone (346) 527-0245

24721 State Hwy 249
Suite 150
Tomball, TX 77375-7727
Phone (346) 336-7700

5810 Meadowcrest Dr
Dallas, TX 75230-2934
Phone (480) 306-6949

6914 Brentfield Dr
Dallas, TX 75248-2255
Phone (480) 306-6949

8850 Six Pines Dr
Suite 190
Shenandoah, TX 77380-2688
Phone (832) 381-3800

9440 Bellaire Blvd
Suite 100
Houston, TX 77036-4558
Phone (832) 239-8538

9802 FM 1960 Bypass Rd W
100 Simonmed Imaging Humble
Humble, TX 77338-3572
Phone (281) 358-3800

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7195TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MCD, LLC Current Accepting new patients
North Star MCD LLC CurrentSince Nov 1, 2020 Accepting new patients
North Star CN, LP CurrentSince Nov 1, 2020 Accepting new patients
North Star MRI of Frisco LP CurrentSince Nov 1, 2020 Accepting new patients
Preferred Imaging of Irving LLC Diagnostic Radiology CurrentSince May 8, 2017 Accepting new patients
North Star GV, LP CurrentSince Nov 1, 2020 Accepting new patients
North Star Plano Parkway, LP CurrentSince Sep 15, 2020 Accepting new patients
North Star FP, LP CurrentSince Nov 1, 2020 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jun 15, 2017 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jun 15, 2017 Accepting new patients
North Star MCD, LLC CurrentSince Nov 1, 2020 Accepting new patients
Preferred Open MRI, LLC Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Preferred Imaging of Plano, LLC CurrentSince Jul 1, 2017 Accepting new patients
North Star NPT LP CurrentSince Sep 15, 2020 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Nov 1, 2020 Accepting new patients
North Star FM, LP CurrentSince Nov 1, 2020 Accepting new patients
North Star MRI LP CurrentSince Nov 1, 2020 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

1000 N Humphreys St
Ste 100
Flagstaff, AZ 86001
Phone (928) 223-0200

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

997 Raintree Cir
Ste 110
Allen, TX 75013

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

8501 Wade Blvd
#220N
Frisco, TX 75034

2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051

11375 S Sam Houston Pkwy W
Ste 150
Houston, TX 77031
Phone (281) 879-6800

24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245

8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

1429 Clear Lake Rd
Ste 400
Weatherford, TX 76086
Phone (817) 321-0312

Networks

  • Freedom Health HMO Network

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1376835371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740608",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753740608",
            "telephone_number": "469-317-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14679 MIDWAY RD STE 206",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013197",
            "telephone_number": "469-317-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZARIAN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q7195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.