Active NPI
Vahid Bagherian, MD
- General Practice Physician
- Ore City, TX
National Provider Identifier
1548320724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G1605
- Practice address
- 720 US Highway 259 N
Ore City, TX 75683-5763 - Phone
- (903) 968-2847
- Fax
- (903) 968-2216
- NPI assigned
- Dec 11, 2006
- Last updated
- Aug 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G1605 | TX | Primary |
Addresses
Primary practice location
720 US Highway 259 N
Ore City, TX 75683-5763
Mailing address
720 US Hwy 259 N.
Ore City, TX 75683-5639
Phone (903) 968-2847
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00DS78 | Other | TX | BLUECROSS BLUESHIELD |
| 133160504 | Medicaid | TX |
Other names 1
- Dr. Vahid Bagherian Kharrati
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070511000191 | TX | Practitioner - General Practice | 4789780560 | Practice locations: Ore City, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1605 | TX | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthier Way Family Care PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Ore City, TX
- NPI 1023612777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1548320724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 US HWY 259 N.",
"city": "ORE CITY",
"state": "TX",
"postal_code": "756835639",
"telephone_number": "903-968-2847",
"fax_number": "903-968-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 US HIGHWAY 259 N",
"city": "ORE CITY",
"state": "TX",
"postal_code": "756835763",
"telephone_number": "903-968-2847",
"fax_number": "903-968-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHERIAN",
"first_name": "VAHID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "G1605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "00DS78",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133160504",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VAHID",
"last_name": "BAGHERIAN KHARRATI",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ore City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.