Individual provider Active NPI

Aaron Yambor Shiraz, MD

  • Anesthesiology Physician
  • Fort Worth, TX
National Provider Identifier
1861699217
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q1744 Issued in TX
Practice address
3023 S University Dr
Suite 135
Fort Worth, TX 76109-5608
Phone
(682) 582-7001
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34997 SC
Anesthesiology Physician 207L00000X Q1744 TX Primary

Addresses

Primary practice location

3023 S University Dr
Suite 135
Fort Worth, TX 76109-5608

Mailing address

3023 S University Dr
Suite 135
Fort Worth, TX 76109-5608
Phone (682) 582-7001

Other names 1

  • Aaron Yambor Sieradzan Former name

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
I20141217002625 TX Practitioner - Anesthesiology 4981852175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
West Virginia University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Associates PLLCGroup PAC ID 4587926357, 17 clinicians

Practice addresses (Care Compare)

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (913) 387-0511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34997SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince Oct 1, 2016 Accepting new patients
Trinity Medical Associates, PLLC. Anesthesiology CurrentSince Nov 22, 2017 Accepting new patients
Anesthesia Associates of Charleston, P.a. Anesthesiology PastSince Jul 29, 1991 Accepting new patients
Minerva Labs LLC PastSince Mar 30, 2025 Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3455 Locke Ave
Ste 100
Fort Worth, TX 76107
Phone (817) 585-1882

3023 S University Dr
Ste 135
Fort Worth, TX 76109
Phone (682) 582-7001

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

6020 W Parker Rd
Plano, TX 75093
Phone (972) 403-2700

1203 S White Chapel Blvd
Ste 150
Southlake, TX 76092
Phone (817) 333-9898

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1861699217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 S UNIVERSITY DR",
            "address_2": "SUITE 135",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095608",
            "telephone_number": "682-582-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 S UNIVERSITY DR",
            "address_2": "SUITE 135",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095608",
            "telephone_number": "682-582-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZ",
        "first_name": "AARON",
        "middle_name": "YAMBOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "34997",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARON",
            "last_name": "SIERADZAN",
            "middle_name": "YAMBOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.