Individual provider Active NPI

Nancy Naghavi, DO

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1811978901
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3764 Issued in TX
Practice address
3919 Fry Rd
Katy, TX 77449-6731
Phone
(281) 646-2273
Fax
(281) 646-9511
NPI assigned
Nov 7, 2005
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34013170 OH
Family Medicine Physician 207Q00000X L3764 TX Primary

Addresses

Primary practice location

3919 Fry Rd
Katy, TX 77449-6731

Mailing address

3919 Fry Rd
Katy, TX 77449-6731
Phone (281) 646-2273

Other practice location 1

82 W Streetsboro St
Hudson, OH 44236-2876
Phone (330) 803-1825

Other identifiers 4

IdentifierTypeStateIssuer
166631501MedicaidTX
H525110OtherOHMEDICARE
1841239274OtherOHPARTNERS PHYSICIAN GROUP NPI
0274149MedicaidOH

Other names 1

  • Nasim Olyae Naghavi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 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
I20040416000286 TX Practitioner - Family Practice 0941295307 Reassigns benefits to 1 organization
I20180503002350 OH Practitioner - Family Practice 0941295307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

297 N Main St
Suite 7
Munroe Falls, OH 44262-1077
Phone (330) 765-4141

3919 Fry Rd
Katy, TX 77449-6731
Phone (281) 646-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34013170OHMDFamily Medicine Physician
L3764TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health & Wellness Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nancy.naghavi.1@17800.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1811978901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496731",
            "telephone_number": "281-646-2273",
            "fax_number": "281-646-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496731",
            "telephone_number": "281-646-2273",
            "fax_number": "281-646-9511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 W Streetsboro St",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "OH",
            "postal_code": "442362876",
            "country_code": "US",
            "telephone_number": "330-803-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGHAVI",
        "first_name": "NANCY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34013170",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166631501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H525110",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP NPI",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NASIM",
            "last_name": "NAGHAVI",
            "middle_name": "OLYAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.