Active NPI
Abtin Doroudinia, MD
- Nuclear Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- U1661
- Practice address
- 5323 Harry Hines Blvd.
Dallas, TX 75390-7201 - Phone
- (214) 645-4292
- NPI assigned
- Nov 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | A122142 | CA | |
| General Practice Physician | 208D00000X | A122142 | CA | |
| Nuclear Medicine Physician | 207U00000X | U1661 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd.
Dallas, TX 75390-7201
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230201001819 | TX | Practitioner - Diagnostic Radiology | 2860718038 | Reassigns benefits to 1 organization |
| I20240423002392 | CA | Practitioner - Nuclear Medicine | 2860718038 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usc Care Medical Group IncKeck Medicine of Usc Imaging Centers LLCUnited Medical Imaging Healthcare Inc
Practice addresses (Care Compare)
125 W Hungtington Dr
Arcadia, CA 91007-3050
1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100
300 Old Newport Blvd
Newport Beach, CA 92663-4121
Phone (949) 646-6441
330 Old Newport Blvd
Newport Beach, CA 92663-4121
590 S Fair Oaks Ave
Pasadena, CA 91105-2614
Phone (626) 517-8676
624 S Central Ave
Glendale, CA 91204-2009
Phone (818) 241-3369
Hospital & facility affiliations
- Usc Kenneth Norris Jr Cancer Hospital
- Keck Hospital of Usc
- Usc Verdugo Hills Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122142 | CA | MD | General Practice Physician |
Practice roles
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585
11160 Warner Ave
Ste 105
Fountain Vly, CA 92708
Phone (714) 619-7500
624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369
2600 Redondo Ave
Ste 101
Long Beach, CA 90806
Phone (562) 424-4100
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814
4916 Whittier Blvd
Los Angeles, CA 90022
Phone (213) 596-8100
1983 Marengo St
Rm 4D334
Los Angeles, CA 90033
2080 Century Park E
Ste 104
Los Angeles, CA 90067
Phone (310) 432-8000
26522 La Alameda
Ste 280
Mission Viejo, CA 92691
Phone (949) 643-3345
590 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 517-8676
590 S Fair Oaks Ave
Ste 143
Pasadena, CA 91105
Phone (626) 517-8676
1661 Golden Rain Rd
Ste Radiology
Seal Beach, CA 90740
Phone (562) 795-6314
10057 County Road 472
Anna, TX 75409
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 42
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.
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- General Practice Physician
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- NPI 1902846306
CA, General Practice
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- NPI 1942270566
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-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Durable Medical Equipment & Medical Supplies
- Beverly Hills, CA
- NPI 1417836925
-
- Durable Medical Equipment & Medical Supplies
- Santa Clarita, CA
- NPI 1538923875
-
- Durable Medical Equipment & Medical Supplies
- Glendale, CA
- NPI 1568226801
-
- Durable Medical Equipment & Medical Supplies
- El Segundo, CA
- NPI 1649034984
-
- Durable Medical Equipment & Medical Supplies
- Arcadia, CA
- NPI 1821972472
-
- Durable Medical Equipment & Medical Supplies
- Beverly Hills, CA
- NPI 1972367217
-
- Clinical Medical Laboratory
- Los Angeles, CA
- NPI 1982271573
Hospital & facility affiliations 3
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": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1811264807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD.",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907201",
"telephone_number": "214-645-4292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOROUDINIA",
"first_name": "ABTIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-19",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "A122142",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A122142",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "TX",
"license": "U1661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.