Individual provider Active NPI

Mahmood S Akhavi, MD

  • Specialist
  • Garland, TX
National Provider Identifier
1598759276
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E7379 Issued in TX
Practice address
530 Clara Barton Blvd Ste 220
Garland, TX 75042-5740
Phone
(972) 494-1100
Fax
(972) 494-4909
NPI assigned
Sep 8, 2005
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E7379 TX Primary

Addresses

Primary practice location

530 Clara Barton Blvd Ste 220
Garland, TX 75042-5740

Mailing address

530 Clara Barton Blvd Ste 220
Garland, TX 75042-5740
Phone (972) 494-1100

Other identifiers 2

IdentifierTypeStateIssuer
172861001MedicaidTX
035340102MedicaidTX

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
I20041022000719 TX Practitioner - Neurology 5193786184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheth, MD, P.a.Group PAC ID 1153411483, 24 clinicians

Practice addresses (Care Compare)

5375 Coit Rd
Suite 130
Frisco, TX 75035-4910
Phone (214) 619-1910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7379TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheth, MD, P.a. CurrentSince Aug 1, 2019 Accepting new patients
RJB Clinica Familiar, PLLC PastSince Nov 20, 2016 Accepting new patients

Locations

5375 Coit Rd
Ste 130
Frisco, TX 75035

Interoperability endpoints

  • Direct secure messaging: mahmood.akhavi@lsneuro.eclinicaldirectplus.com
  • Direct secure messaging: makhavi1660446@direct.texashealth.org
  • Direct secure messaging: makhavi460898@direct.sw.org
  • Direct secure messaging: mhuie8002@yourcarecommunity.org

Organizations & group practices 3

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.

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1598759276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CLARA BARTON BLVD STE 220",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425740",
            "telephone_number": "972-494-1100",
            "fax_number": "972-494-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CLARA BARTON BLVD STE 220",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425740",
            "telephone_number": "972-494-1100",
            "fax_number": "972-494-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHAVI",
        "first_name": "MAHMOOD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E7379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172861001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035340102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.