Mehrdad Mazaheri, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

K3330 Issued in TX

Practice address

670 W Campbell Rd
Ste 100
Richardson, TX 75080-3393

Phone

(972) 889-3937

Fax

(972) 889-9155

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Mazaheri Other name

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

Specialty

Ophthalmology

Education

Eastern Virginia Medical School, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Plano Hospital, Plano, TX, CCN 450651

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Elliott Brodbaker, MD, PLLC

  • Ophthalmology Physician
  • Richardson, TX
  • NPI 1972114908
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750301560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W CAMPBELL RD",
            "address_2": "STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803393",
            "telephone_number": "972-889-3937",
            "fax_number": "972-889-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W CAMPBELL RD",
            "address_2": "STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803393",
            "telephone_number": "972-889-3937",
            "fax_number": "972-889-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAHERI",
        "first_name": "MEHRDAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K3330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P08196559",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MAZAHERI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maureen McGeehan, MD, PA
• Maxicare Therapy and Wellness of Dallas
• Michael Maxwell, PHD
• Yolanda Y May, MT
• Adrienne Denise Mays, DDS
• MB Wellness Associates PLLC
• Mia Kristie Mbroh, LPC
• Monica McAlister
• Timothy M McAuliff, M.D.
• Lisa Lynn McCain, RNC, NNP

• Ophthalmology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.