Individual provider Active NPI

Maryam Saifi, M.D

  • Allergy & Immunology Physician
  • Dallas, TX
National Provider Identifier
1821157942
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
M2069 Issued in TX
Practice address
10 Medical Pkwy Ste 204
Dallas, TX 75234
Phone
(972) 661-9197
Fax
(972) 239-5526
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M2069 TX
Pediatrics Physician 208000000X A96121 CA
Student in an Organized Health Care Education/Training Program 390200000X M2069 TX
Allergy & Immunology Physician 207K00000X M2069 TX Primary

Addresses

Primary practice location

10 Medical Pkwy Ste 204
Dallas, TX 75234

Mailing address

10 Medical Pkwy Ste 204
Dallas, TX 75234-7845
Phone (972) 661-9197

Other practice location 1

5201 Harry Hines Blvd
Graduate medical education
Dallas, TX 75235-7708
Phone (214) 590-8059

Other identifiers 5

IdentifierTypeStateIssuer
179206105MedicaidTX
179206107MedicaidTX
179206106MedicaidTX
179206104MedicaidTX
321859601MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151013001638 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 5294805347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Baylor College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Immunology and Respiratory Care PAGroup PAC ID 6305734187, 3 clinicians

Practice addresses (Care Compare)

3600 Communications Pkwy
Suite 675
Plano, TX 75093-8162
Phone (214) 373-1773

8440 Walnut Hill LN
Dallas, TX 75231-3809
Phone (214) 207-0855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96121CAMDPediatrics Physician
M2069TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Immunology and Respiratory Care PA Allergy & Immunology CurrentSince Jul 1, 2019 Accepting new patients
Allergy Immunology and Respiratory Care PA Allergy & Immunology Current Accepting new patients

Locations

8440 Walnut Hill Ln
Ste 350
Dallas, TX 75231
Phone (214) 207-0855

3600 Communications Pkwy
Ste 675
Plano, TX 75093
Phone (972) 473-7544

Interoperability endpoints

  • Direct secure messaging: maryam.saifi.p1@direct.aircare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1821157942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY STE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347845",
            "telephone_number": "972-661-9197",
            "fax_number": "972-239-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY STE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "972-661-9197",
            "fax_number": "972-239-5526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Harry Hines Blvd",
            "address_2": "Graduate medical education",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357708",
            "country_code": "US",
            "telephone_number": "214-590-8059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAIFI",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2069",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A96121",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "M2069",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "M2069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179206105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179206107",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179206106",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179206104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321859601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.