Individual provider Active NPI

Naghmeh Lilly Khavari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Carrollton, TX
National Provider Identifier
1578842571
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2081 Issued in TX
Practice address
4221 Medical Pkwy Ste 450
Carrollton, TX 75010-4542
Phone
(469) 998-3668
Fax
(469) 444-6065
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2081 TX Primary

Addresses

Primary practice location

4221 Medical Pkwy Ste 450
Carrollton, TX 75010-4542

Mailing address

4221 Medical Pkwy Ste 450
Carrollton, TX 75010-4542
Phone (469) 998-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709002295 TX Practitioner - Podiatry 9739491358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4221 Medical Pkwy
Suite 450
Carrollton, TX 75010-4542
Phone (469) 998-3668

Hospital & facility affiliations

  • Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue23
Removal of skin lesions81
Removal of nail tissue85
Removal or shaving of skin growth17
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carrollton Foot Center, PLLC Podiatrist CurrentSince Apr 1, 2018 Accepting new patients
Stonebridge Foot & Ankle, P.L.L.C. Podiatrist CurrentSince Dec 1, 2015 Accepting new patients

Locations

4221 Medical Pkwy
Ste 450
Carrollton, TX 75010
Phone (469) 998-3668

181 N Ridge Rd
#200
McKinney, TX 75071
Phone (972) 540-0006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12425/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lillykhavari@cfcp-tx.direct.office.nextgen.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.

Hospital & facility affiliations 1

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1578842571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL PKWY STE 450",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104542",
            "telephone_number": "469-998-3668",
            "fax_number": "469-444-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL PKWY STE 450",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104542",
            "telephone_number": "469-998-3668",
            "fax_number": "469-444-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVARI",
        "first_name": "NAGHMEH",
        "middle_name": "LILLY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.