Organization Active NPI

Hadi R Tajani MD PA

  • Specialist
  • Bedford, TX
National Provider Identifier
1699893180
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HADI R TAJANI MD PA
Practice address
1604 Hospital Pkwy
Ste. 507
Bedford, TX 76022-6986
Phone
(817) 354-7268
Fax
(817) 354-9930
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dr. Hadi R Tajani, MDNPI 1790721868
Title
President
Phone
(817) 354-7268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1604 Hospital Pkwy
Ste. 507
Bedford, TX 76022-6986

Mailing address

1604 Hospital Pkwy
Ste. 507
Bedford, TX 76022-6986
Phone (817) 354-7268

Other identifiers 1

IdentifierTypeStateIssuer
100662461000MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140303001427 TX Part B Supplier - Clinic/Group Practice 3173753605 Receives reassigned benefits from 1 practitioner
Practice locations: Euless, TX

National Provider Directory

National Provider Directory

Locations

1604 Hospital Pkwy
Ste 507
Bedford, TX 76022
Phone (817) 354-7268

350 Westpark Way
Ste 109
Euless, TX 76040
Phone (817) 354-2888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1699893180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY",
            "address_2": "STE. 507",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226986",
            "telephone_number": "817-354-7268",
            "fax_number": "817-354-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY",
            "address_2": "STE. 507",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226986",
            "telephone_number": "817-354-7268",
            "fax_number": "817-354-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADI R TAJANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "TAJANI",
        "authorized_official_first_name": "HADI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-354-7268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100662461000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.