Individual provider Active NPI

Vahid Bagherian, MD

  • General Practice Physician
  • Ore City, TX
National Provider Identifier
1548320724
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G1605 Issued in TX
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00DS78OtherTXBLUECROSS BLUESHIELD
133160504MedicaidTX

Other names 1

  • Dr. Vahid Bagherian Kharrati Other name

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
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

LicenseStateTypeSpecialty
G1605TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthier Way Family Care PLLC PastSince Nov 30, 2020 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.

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

Verify at the official NPI Registry.