NPIMap

Individual provider Active NPI

Nemat Matthew Dadfar, D.O.

  • Family Medicine Physician
  • Fort Sam Houston, TX
National Provider Identifier
1851565360
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8615 Issued in TX
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 916-4141
NPI assigned
Apr 15, 2008
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8615 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

3100 Schofield Rd
Fort Sam Houston, TX 78234-7577
Phone (210) 916-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080607000151 TX Practitioner - Family PracticePractitioner - Emergency Medicine 5092885707 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAdams Emergency Medicine Associates, PAGroup PAC ID 2567895386, 42 clinicians
Webb Emergency Medicine Associates PAGroup PAC ID 1355305244, 43 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

1300 E Saunders St
Laredo, TX 78041-5832
Phone (956) 815-4470

2801 Cuatro Vientos Rd
Laredo, TX 78046-2318
Phone (956) 229-6100

3349 S Hwy 181
Kenedy, TX 78119-5247
Phone (830) 583-3401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8615TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center Family Medicine Past Accepting new patients
Athens Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Cherokee Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Trinity Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Lamar Emergency Group PA Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Bellville Medical Center Family Medicine PastSince Aug 6, 2019 Accepting new patients
Tomaszek Neurosurgical Associates, PA Past Accepting new patients
Family Practice Foundation of the Brazos Valley Family Medicine Past Accepting new patients
Rusk Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine Past Accepting new patients

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1851565360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SCHOFIELD RD",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347577",
            "telephone_number": "210-916-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADFAR",
        "first_name": "NEMAT",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.