Individual provider Active NPI

Sina Fahrtash, MD

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1750777579
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T1937 Issued in TX
Practice address
6720 Bertner Ave # MC2-270
Houston, TX 77030-2604
Phone
(713) 861-7164
Fax
(713) 861-7127
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 T1937 TX Primary

Addresses

Primary practice location

6720 Bertner Ave # MC2-270
Houston, TX 77030-2604

Mailing address

PO Box 4346
Houston, TX 77210-4346
Phone (713) 861-7164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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
I20210726000998 TX Practitioner - Diagnostic Radiology 9638572886 Reassigns benefits to 1 organization
I20250114000948 CA Practitioner - Interventional Radiology 9638572886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

150 W Washington St
San Diego, CA 92103-2005
Phone (619) 295-9729

1719 Eado Point LN
Suite 205
Houston, TX 77003-1160
Phone (619) 295-9729

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1937TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 19, 2025 Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Jun 1, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

477 N El Camino Real
Ste A102
Encinitas, CA 92024
Phone (760) 452-7150

4150 Regents Park Row
Ste 195
La Jolla, CA 92037
Phone (858) 622-6464

3601 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 631-7505

1801 W Olympic Blvd
#1315
Pasadena, CA 91199

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

12620 Monte Vista Rd
Ste A
Poway, CA 92064
Phone (858) 487-9729

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

6386 Alvarado Ct
Ste 121
San Diego, CA 92120
Phone (619) 229-2299

550 Washington St
Ste 200
San Diego, CA 92103
Phone (619) 260-7225

Interoperability endpoints

  • Direct secure messaging: sfahrtash41858@direct.uth.org

Organizations & group practices 4

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 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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1750777579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-861-7164",
            "fax_number": "713-861-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE # MC2-270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "713-861-7164",
            "fax_number": "713-861-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRTASH",
        "first_name": "SINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T1937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.