Individual provider Active NPI

Parisa Jamshidi

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Centennial, CO
National Provider Identifier
1487679890
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
DR.0052912 Issued in CO
Practice address
13744 E Caley Dr
Centennial, CO 80111-2433
Phone
(314) 570-3210
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 115974 MO
Emergency Medicine Physician 207P00000X 036-101222 IL
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X V4037 TX
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 341732 LA
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X DR.0052912 CO Primary

Addresses

Primary practice location

13744 E Caley Dr
Centennial, CO 80111-2433

Mailing address

P.O. Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783

Other practice location 1

2001 N High St
Denver, CO 80205-5555
Phone (303) 788-6911

Other practice location 2

17600 Interstate 45 S
The Woodlands, TX 77384-5148
Phone (936) 267-5000

Other practice location 3

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 899-9511

Other identifiers 2

IdentifierTypeStateIssuer
209116300MedicaidMO
71689273MedicaidCO

Other names 1

  • Parisa Jamshidi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, LA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131108001605 CO Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 1850343781 Reassigns benefits to 2 organizations
I20240620001832 LA Practitioner - Emergency Medicine 1850343781 Reassigns benefits to 1 organization
I20250221002507 TX Practitioner - Emergency Medicine 1850343781 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-101222ILMDEmergency Medicine Physician
115974MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Pediatrics PLLC Pediatric Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Carepoint P.C. Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
Children's Hospital CurrentSince Jul 8, 2024 Accepting new patients
Children's Hospital Emergency Medicine CurrentSince Jul 8, 2024 Accepting new patients
North County Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Pediatric Physician Services, Inc. Pediatric Emergency Medicine Past Accepting new patients

Locations

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

9141 Grant St
Ste B40
Thornton, CO 80229
Phone (303) 453-2554

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

4002 24th St
Lubbock, TX 79410
Phone (806) 300-3229

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

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 and National Provider Directory roles.

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": "1730332800000",
    "number": "1487679890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 173862",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173862",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13744 E CALEY DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801112433",
            "telephone_number": "314-570-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N High St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055555",
            "country_code": "US",
            "telephone_number": "303-788-6911",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17600 Interstate 45 S",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773845148",
            "country_code": "US",
            "telephone_number": "936-267-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Henry Clay Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701185720",
            "country_code": "US",
            "telephone_number": "504-899-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMSHIDI",
        "first_name": "PARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "115974",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-101222",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "V4037",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "LA",
            "license": "341732",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "CO",
            "license": "DR.0052912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209116300",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71689273",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARISA",
            "last_name": "JAMSHIDI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.