Active NPI
Amir Ali Faridi, M.D.
- Hematology & Oncology Physician
- Denison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- K4420
- Practice address
- 5125 Texoma Medical Center Dr Ste 100
Denison, TX 75020-0084 - Phone
- (903) 868-4700
- Fax
- (903) 892-4910
- NPI assigned
- Jun 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | K4420 | TX | Primary |
| Medical Oncology Physician | 207RX0202X | K4420 | TX |
Addresses
Primary practice location
5125 Texoma Medical Center Dr Ste 100
Denison, TX 75020-0084
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200036240A | Medicaid | OK | |
| 122150908 | Medicaid | TX | |
| 8R1436 | Other | TX | BLUE CROSS OF TEXAS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040803000600 | TX | Practitioner - Hematology/Oncology | 4981675063 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Oncology PA
Practice addresses (Care Compare)
5125 Texoma Medical Ctr Dr
Suite 100
Denison, TX 75020-0084
Phone (903) 868-4700
Hospital & facility affiliations
- Texoma Medical Center
- Alliancehealth Durant
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4420 | TX | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Grayson Hospital LLC | Current | Accepting new patients | |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Bellville Hospital District | Past | Accepting new patients |
Locations
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
10425 N Central Expy
Dallas, TX 75231
Phone (214) 361-2025
5125 Texoma Medical Center Dr
Ste 100
Denison, TX 75020
Phone (903) 868-4700
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
2800 N US Highway 75
Sherman, TX 75090
Phone (903) 201-6000
Interoperability endpoints
- amirfaridi@wnjrmc.allscriptsdirect.net
- amir.faridi@txo.ikm.direct-ci.com
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.
-
- General Acute Care Hospital
- Sherman, TX
- NPI 1013957836
-
- General Acute Care Hospital
- Bellville, TX
- NPI 1457358103
Hospital & facility affiliations 2
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": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1659319028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 TEXOMA MEDICAL CENTER DR STE 100",
"city": "DENISON",
"state": "TX",
"postal_code": "750200084",
"telephone_number": "903-868-4700",
"fax_number": "903-892-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIDI",
"first_name": "AMIR",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "K4420",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "K4420",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200036240A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122150908",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "8R1436",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.