Individual provider Active NPI

Farida Farrukh Valliani, MD

  • Internal Medicine Physician
  • Carrollton, TX
National Provider Identifier
1386644235
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9413 Issued in TX
Practice address
3740 N Josey LN
Suite 206
Carrollton, TX 75007-2474
Phone
(214) 731-0031
Fax
(214) 731-0065
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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 J9413 TX Primary

Addresses

Primary practice location

3740 N Josey LN
Suite 206
Carrollton, TX 75007-2474

Mailing address

3740 N Josey LN
Suite 206
Carrollton, TX 75007-2474
Phone (214) 731-0031

Other identifiers 1

IdentifierTypeStateIssuer
113797804MedicaidTX

Other names 1

  • Dr. Farida Farrukh Hassan Former name

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
I20050413000961 TX Practitioner - Internal Medicine 5597702225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3740 N Josey LN
Suite 206
Carrollton, TX 75007-2472
Phone (214) 731-0031

Hospital & facility affiliations

  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9413TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farida Valliani MD P a Internal Medicine CurrentSince Mar 15, 2003 Accepting new patients
Acs Primary Care Physicians Southwest, PA Internal Medicine Past Accepting new patients

Locations

3740 N Josey Ln
Ste 206
Carrollton, TX 75007
Phone (214) 731-0031

Organizations & group practices 2

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1386644235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN",
            "address_2": "SUITE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072474",
            "telephone_number": "214-731-0031",
            "fax_number": "214-731-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN",
            "address_2": "SUITE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072474",
            "telephone_number": "214-731-0031",
            "fax_number": "214-731-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIANI",
        "first_name": "FARIDA",
        "middle_name": "FARRUKH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113797804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARIDA",
            "last_name": "HASSAN",
            "middle_name": "FARRUKH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.