Active NPI
Karen Matevosyan, MD
- Blood Banking & Transfusion Medicine Physician
- Dallas, TX
National Provider Identifier
1396949830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- N8319
- Practice address
- 5323 Harry Hines Blvd
Charles Sprague Building, CS3.114
Dallas, TX 75390-9073 - Phone
- (214) 648-9182
- Fax
- (214) 648-8037
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | N8319 | TX | Primary |
| Clinical Pathology Physician | 207ZC0006X | N8319 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5323 Harry Hines Blvd
Charles Sprague Building, CS3.114
Dallas, TX 75390-9073
Mailing address
P.O. Box 845347
Dallas, TX 75284
Phone (214) 648-9182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP2-0026709 | Other | INSTITUTIONAL PERMIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42686 | TX | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1396949830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "75284",
"telephone_number": "214-648-9182",
"fax_number": "214-648-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"address_2": "CHARLES SPRAGUE BUILDING, CS3.114",
"city": "DALLAS",
"state": "TX",
"postal_code": "753909073",
"telephone_number": "214-648-9182",
"fax_number": "214-648-8037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEVOSYAN",
"first_name": "KAREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "TX",
"license": "N8319",
"primary": true
},
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "TX",
"license": "N8319",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP2-0026709",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.