Organization Active NPI

Virtual Neurology Texas PLLC

  • Neurology Physician
  • Irving, TX
National Provider Identifier
1467092114
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
VIRTUAL NEUROLOGY TEXAS PLLC
Practice address
320 Decker Dr
Irving, TX 75062-3999
Phone
(239) 208-2212
NPI assigned
Jan 10, 2020
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Daryoush Zafar, DPMNPI 1538143854
Title
Managing Partner
Phone
(239) 229-5056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

320 Decker Dr
Irving, TX 75062-3999

Mailing address

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 1

9110 College Pointe Ct
Fort Myers, FL 33919-3244
Phone (239) 208-2206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, NY, CA, VA, KY, IL, NC, OR, AZ, PA, NJ, MD, WI, CT, DC, ME, MA, NV, CO, LA, TN, PR, GA, UT, WA, SC, FL, OH, MO, MN, AR, ID, DE, IN, NE36 enrollments

Enrollment records 36

Enrollment IDStateProvider typePAC IDDetails
O20200226001130 TX Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 11 practitioners
Practice locations: Coppell, TX; Webster, TX; Sugar Land, TX; San Antonio, TX; Murphy, TX; Missouri City, TX; Irving, TX; Harlingen, TX…
O20231107002601 MI Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 3 practitioners
Practice locations: Clarkston, MI; Rochester Hills, MI; Petoskey, MI
O20231109003351 NY Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 14 practitioners
Practice locations: Olean, NY; Wilton, NY; West Seneca, NY; Somers, NY; Rochester, NY; Northport, NY; New York, NY; Jamaica, NY…
O20231110000805 CA Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 16 practitioners
Practice locations: Yorba Linda, CA; San Luis Obispo, CA; San Diego, CA; Rancho Palos Verdes, CA; Costa Mesa, CA; Newport Beach, CA; Monterey, CA; Los Angeles, CA…
O20231110002049 VA Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 4 practitioners
Practice locations: Crozet, VA; Winchester, VA; Charlottesville, VA
O20231111000398 KY Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 3 practitioners
Practice locations: Lexington, KY
O20231116000520 IL Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL; Lemont, IL
O20231117000608 NC Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 9 practitioners
Practice locations: Winston Salem, NC; Marvin, NC; Charlotte, NC; Holly Springs, NC; Fletcher, NC; Durham, NC; Concord, NC; Clemmons, NC…
O20231117002451 OR Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 4 practitioners
Practice locations: Corvallis, OR; Portland, OR
O20231117002611 AZ Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 6 practitioners
Practice locations: Flagstaff, AZ; Gilbert, AZ; Mesa, AZ; Phoenix, AZ; Scottsdale, AZ; Tucson, AZ
O20231128002260 PA Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 6 practitioners
Practice locations: East Norriton, PA; Latrobe, PA; Philadelphia, PA; Prospect, PA; Wexford, PA
O20231129000247 NJ Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 5 practitioners
Practice locations: Freehold, NJ; Madison, NJ; Mahwah, NJ; Paramus, NJ; Princeton, NJ
O20231129001839 MD Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 5 practitioners
Practice locations: Ellicott City, MD; Baltimore, MD; Woodbine, MD; Rockville, MD
O20231207001260 WI Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 2 practitioners
Practice locations: Mequon, WI
O20231208001821 CT Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 1 practitioner
Practice locations: Cromwell, CT
O20231209000127 DC Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD
O20231211000697 ME Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 1 practitioner
Practice locations: Old Orchard Beach, ME
O20231211002994 MA Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 2 practitioners
Practice locations: Wellesley, MA; Somerville, MA
O20231214001168 NV Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV; Reno, NV
O20231222001613 CO Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 8 practitioners
Practice locations: Colorado Springs, CO; Golden, CO; Denver, CO; Crested Butte, CO
O20231222002422 LA Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 3 practitioners
Practice locations: New Orleans, LA; Slidell, LA
O20231229001234 TN Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 9 practitioners
Practice locations: Memphis, TN; Signal Mountain, TN; Nashville, TN; Mount Juliet, TN; Knoxville, TN; Johnson City, TN; Franklin, TN; Brentwood, TN
O20240102001403 PR Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 3 practitioners
Practice locations: Guaynabo, PR; San Juan, PR
O20240108005406 GA Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 9 practitioners
Practice locations: Atlanta, GA; Decatur, GA; Kennesaw, GA; Marietta, GA; Scottdale, GA; Watkinsville, GA
O20240410002093 UT Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 3 practitioners
Practice locations: Holladay, UT; Murray, UT; Sandy, UT
O20240529003480 WA Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 3 practitioners
Practice locations: Olympia, WA; Tacoma, WA
O20240607000279 SC Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 2 practitioners
Practice locations: Charleston, SC
O20240617001623 FL Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 21 practitioners
Practice locations: Winter Garden, FL; Weston, FL; Cape Coral, FL; Wesley Chapel, FL; Vero Beach, FL; Tampa, FL; Stuart, FL; Saint Johns, FL…
O20240618000619 OH Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 5 practitioners
Practice locations: Cleveland, OH; Columbus, OH; Dayton, OH; Toledo, OH
O20240701000321 MO Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Louis, MO; Kansas City, MO
O20250107003787 MN Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN
O20250129002702 AR Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR
O20250526000219 ID Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID
O20251023003019 DE Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 2 practitioners
Practice locations: Dover, DE; Milton, DE
O20251110000814 IN Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN
O20251119001189 NE Part B Supplier - Clinic/Group Practice 3779910047 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

15 Brookline Ave
Unit 1406
Boston, MA 02215

Practitioners & affiliated clinicians

Practitioners 179

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 179

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1467092114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DECKER DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623999",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 College Pointe Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193244",
            "country_code": "US",
            "telephone_number": "239-208-2206",
            "fax_number": "239-208-3994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRTUAL NEUROLOGY TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "ZAFAR",
        "authorized_official_first_name": "DARYOUSH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "239-229-5056",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.