Individual provider Active NPI

Farid Ud Din, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Murphy, TX
National Provider Identifier
1609115872
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
R4212 Issued in TX
Practice address
318 W FM 544 Ste B1
Murphy, TX 75094-4652
Phone
(469) 493-1964
Fax
(732) 756-9138
NPI assigned
Feb 7, 2013
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Hospital 282NW0100X
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 54042 TN
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X R4212 TX Primary

Addresses

Primary practice location

318 W FM 544 Ste B1
Murphy, TX 75094-4652

Mailing address

4604 Appleridge Dr
Richardson, TX 75082-3800
Phone (469) 493-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180806001012 TX Practitioner - NeurologyPractitioner - Psychiatry 7911292214 Reassigns benefits to 2 organizations
I20240120000306 OK Practitioner - Neuropsychiatry 7911292214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2408 E 81St St
Suite 110
Tulsa, OK 74137-4215
Phone (539) 666-0919

3600 Northstar Rd
Suite 140
Richardson, TX 75082-5309
Phone (469) 493-1964

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54042TNMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Care LLC Neurology With Special Qualifications in Child Neurology CurrentSince Feb 11, 2020 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Neurology With Special Qualifications in Child Neurology CurrentSince Jul 1, 2016 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 9, 2019 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Neurology Care PLLC CurrentSince Nov 1, 2019 Accepting new patients
Neuro Care LLC Neurology With Special Qualifications in Child Neurology Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 9, 2019 Accepting new patients

Locations

2408 E 81st St
Ste 110
Tulsa, OK 74137
Phone (539) 666-0919

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

408 N State of Franklin Rd
Ste 31
Johnson City, TN 37604
Phone (423) 431-2477

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360

848 Adams Ave
#L400
Memphis, TN 38103
Phone (901) 287-6804

2800 E Broad St
Ste 408
Mansfield, TX 76063
Phone (469) 466-6524

1050 N Belt Line Rd
Ste 103
Mesquite, TX 75149
Phone (214) 228-1300

318 W FM 544
Ste B1
Murphy, TX 75094
Phone (469) 493-1964

3200 Talon Dr
Ste 300
Richardson, TX 75082
Phone (901) 333-9475

3600 Northstar Rd
Ste 140
Richardson, TX 75082
Phone (469) 493-1964

115 Park Place Blvd
Ste 100
Waxahachie, TX 75165
Phone (469) 383-7323

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIBBD

Organizations & group practices 7

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1609115872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 APPLERIDGE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823800",
            "telephone_number": "469-493-1964",
            "fax_number": "732-756-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W FM 544 STE B1",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944652",
            "telephone_number": "469-493-1964",
            "fax_number": "732-756-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIN",
        "first_name": "FARID",
        "middle_name": "UD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TN",
            "license": "54042",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "R4212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

Verify at the official NPI Registry.