Individual provider Active NPI

Noushin A Firouzbakht, MD

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1417154634
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M2619 Issued in TX
Practice address
1125 S Henderson St
Fort Worth, TX 76104-4464
Phone
(817) 878-2667
Fax
(817) 810-9541
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M2619 TX Primary

Addresses

Primary practice location

1125 S Henderson St
Fort Worth, TX 76104-4464

Mailing address

1125 S Henderson St
Fort Worth, TX 76104-4464
Phone (817) 878-2667

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
I20070920000422 TX Practitioner - Obstetrics/Gynecology 4385738400 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Pediatrix Medical Group of Texas Billing IncGroup PAC ID 0042283921, 36 clinicians

Practice addresses (Care Compare)

1125 S Henderson St
Fort Worth, TX 76104-4464
Phone (817) 878-2667

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone 80024338397746

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2619TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faron Group PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2015 Accepting new patients
Obstetrix Medical Group of Texas Billing, Inc. CurrentSince May 24, 2023 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jan 25, 2016 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Dec 26, 2018 Accepting new patients
Noushin a Firouzbakht MD PA Obstetrics & Gynecology CurrentSince Jul 17, 2014 Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1125 S Henderson St
Fort Worth, TX 76104
Phone (817) 870-1056

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

Organizations & group practices 6

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 2

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1417154634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044464",
            "telephone_number": "817-878-2667",
            "fax_number": "817-810-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044464",
            "telephone_number": "817-878-2667",
            "fax_number": "817-810-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIROUZBAKHT",
        "first_name": "NOUSHIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M2619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.