Active NPI
Farid Fred Taie, D.O.
- Family Medicine Physician
- Plano, TX
National Provider Identifier
1427053313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K4813
- Practice address
- 1409 Shiloh Rd Ste 150
Plano, TX 75074-8258 - Phone
- (972) 398-1665
- Fax
- (972) 398-1677
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K4813 | TX | Primary |
Addresses
Primary practice location
1409 Shiloh Rd Ste 150
Plano, TX 75074-8258
Mailing address
428 Ambrose Dr
Murphy, TX 75094-4209
Phone (972) 422-1485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8S7890 | Other | TX | BLUE CROSS AND BLUE SHIEL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primamed Physicians PLLC | Past | Accepting new patients | |
| Family Practice and Osteopathic Medicine Clinic | Family Medicine | Past | Accepting new patients |
| Physicain Geriatric Services PA | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1346429032
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1902093602
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1164494068
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Plano, TX
- NPI 1619922549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1427053313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 AMBROSE DR",
"city": "MURPHY",
"state": "TX",
"postal_code": "750944209",
"telephone_number": "972-422-1485",
"fax_number": "972-398-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 SHILOH RD STE 150",
"city": "PLANO",
"state": "TX",
"postal_code": "750748258",
"telephone_number": "972-398-1665",
"fax_number": "972-398-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAIE",
"first_name": "FARID",
"middle_name": "FRED",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K4813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "8S7890",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.