Individual provider Active NPI

Ardashes Mirzatuny, M.D.

  • Psychiatry Physician
  • Frisco, TX
National Provider Identifier
1457376303
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F9830 Issued in TX
Practice address
11301 Knoxville LN
Frisco, TX 75035-7922
Phone
(214) 762-1384
Fax
(972) 712-5507
NPI assigned
Jul 13, 2006
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 F9830 TX Primary

Addresses

Primary practice location

11301 Knoxville LN
Frisco, TX 75035-7922

Mailing address

3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone (214) 743-1200

Other practice location 1

3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone (214) 743-1200

Other practice location 2

4645 Samuell Blvd
Dallas, TX 75228-6826
Phone (214) 743-1200

Other identifiers 1

IdentifierTypeStateIssuer
P087GA550MedicaidTX

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
I20091215000678 TX Practitioner - Psychiatry 2264572650 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

106 S Jefferson St
Kaufman, TX 75142-1928
Phone (214) 351-3490

1350 N Westmoreland Rd
Metrocare Services
Dallas, TX 75211-1654
Phone (214) 743-6159

1353 N Westmoreland Rd
Metrocare Services
Dallas, TX 75211-1654
Phone (214) 743-6159

3230 Remond Dr
Dallas, TX 75211-1619
Phone (214) 743-1200

3242 Remond Dr
Dallas, TX 75211-1619
Phone (214) 743-1200

9708 Skillman St
Dallas, TX 75243-5150
Phone (214) 743-6159

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
56.91
Promoting interoperability
52
Improvement activities
40
Cost
84.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center Psychiatry CurrentSince Aug 17, 1990 Accepting new patients
North Texas Behavioral Health Authority Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Dallas County Mental Health & Mental Retardation Center Past Accepting new patients
North Texas Behavioral Health Authority Psychiatry PastSince Apr 24, 2022 Accepting new patients
Duncanville Mental Health Services Psychiatry Past Accepting new patients

Locations

319 N 12th St
Ste 1
Corsicana, TX 75110
Phone (877) 872-1003

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (469) 899-3200

3330 S Lancaster Rd
Dallas, TX 75216
Phone (214) 371-0474

4215 Gannon Ln
Dallas, TX 75237
Phone (972) 283-9090

4645 Samuell Blvd
Dallas, TX 75228
Phone (214) 275-7393

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

8915 Harry Hines Blvd
Dallas, TX 75235
Phone (972) 548-9484

9708 Skillman St
Dallas, TX 75243
Phone (214) 221-5433

106 S Jefferson St
Kaufman, TX 75142
Phone (512) 343-8606

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

120 W Main St
Ste 220
Mesquite, TX 75149
Phone (469) 335-7782

4031 W Plano Pkwy
Ste 211
Plano, TX 75093
Phone (972) 369-8990

1505 W Jefferson St
Ste 120
Waxahachie, TX 75165
Phone (972) 937-8309

Organizations & group practices 8

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1457376303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "214-743-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 KNOXVILLE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357922",
            "telephone_number": "214-762-1384",
            "fax_number": "972-712-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 S Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752164531",
            "country_code": "US",
            "telephone_number": "214-743-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4645 Samuell Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752286826",
            "country_code": "US",
            "telephone_number": "214-743-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZATUNY",
        "first_name": "ARDASHES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F9830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P087GA550",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.