Individual provider Active NPI

Mansoor Muhammad Mian, M.D.

  • Psychiatry Physician
  • Carrollton, TX
National Provider Identifier
1417900895
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L8133 Issued in TX
Practice address
1505 Reata Dr
Carrollton, TX 75010-1153
Phone
(972) 375-7821
Fax
(682) 200-2850
NPI assigned
May 18, 2006
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L8133 TX Primary

Addresses

Primary practice location

1505 Reata Dr
Carrollton, TX 75010-1153

Mailing address

1505 Reata Dr
Carrollton, TX 75010-1153
Phone (972) 375-7821

Other names 1

  • Dr. Muhammad Mansoor Mian 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
I20040812000877 TX Practitioner - Psychiatry 1850363417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denton Psychiatric Associates LPGroup PAC ID 6103998430, 2 clinicians

Practice addresses (Care Compare)

120 Meadow View Dr
Justin, TX 76247-9639
Phone (972) 375-7821

1505 Reata Dr
Carrollton, TX 75010-1153
Phone (972) 375-7821

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denton Psychiatric Associates, LP Psychiatry CurrentSince May 5, 2008 Accepting new patients

Locations

120 Meadow View Dr
Justin, TX 76247
Phone (940) 648-2731

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1417900895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 REATA DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101153",
            "telephone_number": "972-375-7821",
            "fax_number": "682-200-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 REATA DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101153",
            "telephone_number": "972-375-7821",
            "fax_number": "682-200-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAN",
        "first_name": "MANSOOR",
        "middle_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L8133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "MIAN",
            "middle_name": "MANSOOR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.