Individual provider Active NPI

Shahriar Setoudeh-Maram, MD

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1619950359
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7611 Issued in TX
Practice address
3044 Old Denton Rd Ste 317
Carrollton, TX 75007-5017
Phone
(972) 242-4440
Fax
(972) 242-4949
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M7611 TX Primary

Addresses

Primary practice location

3044 Old Denton Rd Ste 317
Carrollton, TX 75007-5017

Mailing address

3044 Old Denton Rd Ste 317
Carrollton, TX 75007-5017
Phone (972) 242-4440

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
I20080506000778 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9032138219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3044 Old Denton Rd
Suite 317
Carrollton, TX 75007-5017
Phone (972) 242-4440

Hospital & facility affiliations

  • Lucent Home Health LLC Home health agency, Plano, TX, CCN 743191
  • Two Circles Home Health Care, Inc. Home health agency, Dallas, TX, CCN 748080
  • Medical City Plano Hospital, Plano, TX, CCN 450651

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as apm
Quality
76.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7611TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Nov 5, 2019 Accepting new patients
Innovative Emergency Physicians of Uptown CurrentSince Jan 7, 2024 Accepting new patients
MC Healthcare PA CurrentSince Jul 1, 2010 Accepting new patients
Primamed Physicians PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Johnson Memorial Hospital Past Accepting new patients
Weiguo Zhou, MD, PA Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

3044 Old Denton Rd
Ste 317
Carrollton, TX 75007
Phone (972) 242-3361

3044 Old Denton Rd
Ste 3
Carrollton, TX 75007
Phone (972) 242-4440

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

909 W Spring Creek Pkwy
Ste 480
Plano, TX 75023
Phone (972) 517-0600

2010 E State Highway 114
Southlake, TX 76092
Phone (817) 893-9200

Interoperability endpoints

  • Direct secure messaging: dmcssetou@yourcarecommunity.org

Organizations & group practices 8

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 3

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1619950359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 317",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075017",
            "telephone_number": "972-242-4440",
            "fax_number": "972-242-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 317",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075017",
            "telephone_number": "972-242-4440",
            "fax_number": "972-242-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETOUDEH-MARAM",
        "first_name": "SHAHRIAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.