Individual provider Active NPI

Farhana Tori, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1588337604
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14703 Issued in TX
Practice address
14180 Dallas Pkwy Ste 620
Dallas, TX 75254-4363
Phone
(800) 797-3174
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14703 TX Primary

Addresses

Primary practice location

14180 Dallas Pkwy Ste 620
Dallas, TX 75254-4363

Mailing address

14180 Dallas Pkwy Ste 620
Dallas, TX 75254-4363

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125002920 TX Practitioner - Physician Assistant 1254723257 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karen L Stierman, MD PAGroup PAC ID 4880591742, 4 clinicians

Practice addresses (Care Compare)

1730 E Whitestone Blvd
Suite 100
Cedar Park, TX 78613-7284
Phone (512) 328-7722

2765 Bee Caves Rd
Suite 205
Austin, TX 78746-5994
Phone (512) 328-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsley Clinic PLLC CurrentSince Aug 1, 2021 Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

14180 Dallas Pkwy
Ste 620
Dallas, TX 75254
Phone (469) 391-0070

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1588337604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14180 DALLAS PKWY STE 620",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14180 DALLAS PKWY STE 620",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544363",
            "telephone_number": "800-797-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORI",
        "first_name": "FARHANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.