Idean Nikrooyan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

Q9699 Issued in TX

Practice address

9301 N Central Expy, TWR 2
Ste 180
Dallas, TX 75231

Phone

(214) 253-0202

Fax

(214) 253-0203

NPI assigned

Mar 29, 2011

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Judith a. Kirby, M.D., P.a.

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1598978553
  Medicare reassignment NPD
• William Justus Head MD PA

  • Ophthalmology Physician
  • McAllen, TX
  • NPI 1811939184
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1760771802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY, TWR 2",
            "address_2": "STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-253-0202",
            "fax_number": "214-253-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY, TWR 2",
            "address_2": "STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-253-0202",
            "fax_number": "214-253-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKROOYAN",
        "first_name": "IDEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q9699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379915701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadia Nikah, LPC
• Ken Paul Nikaidoh, PA
• Bushra Nikhat
• Amy Nikolopoulos, PT, DPT
• Evodokia Thrasevoulos Nikolopoulos
• Amor Niksic
• David Shaw Nilasena, M.D.
• Richard Kent Niles, MD
• Nilesh B Dave MD PA
• Andrea Nillas, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.