Individual provider Active NPI

Farhad Tarki, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1467672220
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1093 Issued in TX
Practice address
5315 Ross Ave
Dallas, TX 75206-7418
Phone
(214) 826-2151
Fax
(214) 826-2196
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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 K1093 TX Primary

Addresses

Primary practice location

5315 Ross Ave
Dallas, TX 75206-7418

Mailing address

5315 Ross Ave
Dallas, TX 75206-7418
Phone (214) 826-2151

Other identifiers 1

IdentifierTypeStateIssuer
K1093OtherTXSTATE LICENSE NUMBER

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
I20120622000293 TX Practitioner - Family Practice 9931364056 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1093TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boyett Healthcare of Texas PLLC CurrentSince Jan 1, 2020 Accepting new patients
Pathway Healthcare- I360, LLC PastSince Jan 14, 2024 Accepting new patients

Locations

1000 Urban Center Dr
Ste 600
Vestavia, AL 35242
Phone (205) 208-0312

6600 Lyndon B Johnson Fwy
Ste 240
Dallas, TX 75240
Phone (214) 347-9765

Interoperability endpoints

  • Direct secure messaging: farhad.tarki@hcc.eclinicaldirectplus.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1467672220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067418",
            "telephone_number": "214-826-2151",
            "fax_number": "214-826-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067418",
            "telephone_number": "214-826-2151",
            "fax_number": "214-826-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARKI",
        "first_name": "FARHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "K1093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.