Active NPI
Boback B Sobhani, M.D.
- Emergency Medicine Physician
- Georgetown, TX
National Provider Identifier
1619924784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L3133
- Practice address
- 2000 Scenic Dr
Georgetown, TX 78626-7726 - Phone
- (512) 943-3000
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L3133 | TX | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | L3133 | TX | |
| Family Medicine Physician | 207Q00000X | L3133 | TX |
Addresses
Primary practice location
2000 Scenic Dr
Georgetown, TX 78626-7726
Mailing address
2540 County Road 327
Granger, TX 76530-5206
Phone (512) 859-2269
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current | Accepting new patients |
Locations
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1619924784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 COUNTY ROAD 327",
"city": "GRANGER",
"state": "TX",
"postal_code": "765305206",
"telephone_number": "512-859-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SCENIC DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267726",
"telephone_number": "512-943-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBHANI",
"first_name": "BOBACK",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L3133",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "L3133",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L3133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.