Individual provider Active NPI

Diana M Mahbod, MD

  • Nephrology Physician
  • Richardson, TX
National Provider Identifier
1689931974
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R5433 Issued in TX
Practice address
2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone
(469) 204-1000
NPI assigned
Apr 12, 2012
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-42766 IA
Internal Medicine Physician 207R00000X MD-42766 IA
Hospitalist Physician 208M00000X MD-42766 IA
Nephrology Physician 207RN0300X R5433 TX Primary

Addresses

Primary practice location

2831 E President George Bush Hwy
Richardson, TX 75082-3561

Mailing address

728 Sterling Dr
Murphy, TX 75094-3309
Phone (563) 650-0572

Other practice location 1

728 Sterling Dr
Murphy, TX 75094-3309
Phone (563) 650-0572

Other practice location 2

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-4019

Other names 1

  • Diana Mina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, TN, IN, KY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190212000194 TX Practitioner - Nephrology 6901110089 Reassigns benefits to 4 organizations
I20230821002680 IA Practitioner - Hospitalist 6901110089 Reassigns benefits to 2 organizations
I20240722000275 TN Practitioner - Nephrology 6901110089 Reassigns benefits to 1 organization
I20240722002346 IN Practitioner - Nephrology 6901110089 Reassigns benefits to 1 organization
I20240830002279 KY Practitioner - Nephrology 6901110089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Iowa, RJ & L Carver College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Kidney PartnersGroup PAC ID 2365892098, 3 clinicians
Nuview Health Indiana PCGroup PAC ID 6103169966, 43 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

2001 Auburn Hills Pkwy
Suite 801
McKinney, TX 75071-3572
Phone (214) 796-8579

702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (561) 299-3667

728 Sterling Dr
Murphy, TX 75094-3309
Phone (319) 768-1000

800 W Randol Mill Rd
Texas Health Arlington Memorial Hos
Arlington, TX 76012-2504
Phone (817) 960-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Sep 24, 2023 Accepting new patients
Nuview Health Indiana PC CurrentSince Aug 1, 2024 Accepting new patients
Genesis Health System CurrentSince Aug 7, 2023 Accepting new patients
State University of Iowa Internal Medicine CurrentSince Jul 5, 2023 Accepting new patients
Genesis Health System Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
Nuview Telehealth, LLC Internal Medicine CurrentSince Jul 23, 2024 Accepting new patients
Dallas Renal Group PA Nephrology CurrentSince Nov 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jan 19, 2024 Accepting new patients
Nuview Health Texas PA Nephrology CurrentSince Jul 23, 2024 Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555

3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555

7777 Forest Ln
Ste C865
Dallas, TX 75230
Phone (972) 566-4560

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7217 Telecom Pkwy
Ste 245
Garland, TX 75044
Phone (469) 284-9361

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

Interoperability endpoints

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

Organizations & group practices 10

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1689931974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 STERLING DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943309",
            "telephone_number": "563-650-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 E PRESIDENT GEORGE BUSH HWY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823561",
            "telephone_number": "469-204-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Sterling Dr",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750943309",
            "country_code": "US",
            "telephone_number": "563-650-0572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-4019",
            "fax_number": "319-353-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHBOD",
        "first_name": "DIANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "MD-42766",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-42766",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD-42766",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R5433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "MINA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.