Individual provider Active NPI

Farid Fred Taie, D.O.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1427053313
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4813 Issued in TX
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

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8S7890OtherTXBLUE 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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC PastSince Feb 9, 2025 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 PastSince Feb 9, 2025 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.

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

Verify at the official NPI Registry.