Individual provider Active NPI

Ramin Roufeh, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1508014275
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4048 Issued in TX
Practice address
6124 W Parker Rd Ste 138
Plano, TX 75093-8124
Phone
(972) 981-7000
Fax
(972) 981-7001
NPI assigned
Sep 5, 2008
Reactivated
Apr 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 N4048 TX Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 138
Plano, TX 75093-8124

Mailing address

6124 W Parker Road
Ste. 138
Plano, TX 75093-8124
Phone (972) 981-7000

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
I20100917000825 TX Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Pain Management 4284759952 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pain Management, Sports Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ipa ER Group PLLC 27 clinicians
Willow Bend Family Medicine P.a. 3 clinicians

Practice addresses (Care Compare)

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (214) 696-8033

6124 W Parker Rd
Plano, TX 75093-8124
Phone (972) 981-7000

Hospital & facility affiliations

  • Two Circles Home Health Care, Inc. Home health agency, Dallas, TX, CCN 748080
  • Hospice Plus Hospice, Dallas, TX, CCN 451780
  • New Century Hospice of Dallas Hospice, Richardson, TX, CCN 671588
  • Gentiva Hospice, Dallas, TX, CCN 451527
  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipa ER Group PLLC Family Medicine CurrentSince Nov 3, 2024 Accepting new patients
Kelly Fox Health LLC CurrentSince Apr 12, 2025 Accepting new patients
Western Texas Emergency Physicians PLLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

3800 Gaylord Pkwy
Ste 795
Frisco, TX 75034
Phone (214) 902-3400

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033

Interoperability endpoints

  • Direct secure messaging: ramin.roufeh.1@23964.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Century Hospice of DallasRichardson, TX, CCN 671588 Hospice W-2 Managing Employee Oct 29, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1508014275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER ROAD",
            "address_2": "STE. 138",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-981-7000",
            "fax_number": "972-981-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 138",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-981-7000",
            "fax_number": "972-981-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUFEH",
        "first_name": "RAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-12",
        "deactivation_date": "2024-04-02",
        "reactivation_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.