Individual provider Active NPI

Paul Fereidon Hakim, M.D.

  • Diagnostic Radiology Physician
  • Amarillo, TX
National Provider Identifier
1699093831
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R2114 Issued in TX
Practice address
1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109
Phone
(757) 446-7934
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R2114 TX Primary

Addresses

Primary practice location

1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109

Mailing address

1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20170606000451 NM Practitioner - Diagnostic Radiology 2062791270 Reassigns benefits to 1 organization
I20170606001013 TX Practitioner - Diagnostic Radiology 2062791270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Eastern Virginia Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Radiological Association LLPGroup PAC ID 9739172479, 36 clinicians
Open Air Imaging Center LLPGroup PAC ID 9739258310, 25 clinicians

Practice addresses (Care Compare)

117 E 19TH St
Roswell, NM 88201-5151
Phone (575) 627-7000

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2109
Phone (806) 355-3352

7400 Wallace Blvd
Amarillo, TX 79106-1818
Phone (806) 353-8333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2114TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Air Imaging Center, LLP CurrentSince May 1, 2017 Accepting new patients
High Plains Radiological Association LLP Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients

Locations

117 Camino de Vida
Santa Rosa, NM 88435
Phone (575) 472-3417

7400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-8480

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1901 Medi Park Dr
Ste 2050
Amarillo, TX 79106
Phone (806) 355-3352

Organizations & group practices 2

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 7

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1699093831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109",
            "telephone_number": "757-446-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "PAUL",
        "middle_name": "FEREIDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R2114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.