Farnoush F. Faez-Rezvani, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1724 Issued in TX

Practice address

1450 W. Grand Pkwy. S.
G-120
Katy, TX 77494-8300

Phone

(866) 950-3627

Fax

(800) 652-8206

NPI assigned

May 4, 2006

Last updated

Apr 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthdrive Podiatry Group PAGroup PAC ID 1759334782, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthdrive Podiatry Group, PA

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Fort Worth, TX
  • NPI 1518112499
  Medicare reassignment Care Compare group
• Brazos Valley Foot Care PA

  • Podiatrist
  • College Station, TX
  • NPI 1194839563
  NPD (past)
• Healthdrive Podiatry Group, PA

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Houston, TX
  • NPI 1104861475
  NPD (past)
• Karen Elizabeth Chagnon Dba Senior Care Associates of Texas

  • Podiatrist
  • Arlington, TX
  • NPI 1871700013
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1881642940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W. GRAND PKWY. S.",
            "address_2": "G-120",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948300",
            "telephone_number": "866-950-3627",
            "fax_number": "800-652-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W. GRAND PKWY. S.",
            "address_2": "G-120",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948300",
            "telephone_number": "866-950-3627",
            "fax_number": "800-652-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAEZ-REZVANI",
        "first_name": "FARNOUSH",
        "middle_name": "F.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173402205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173402203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001MR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173402201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RD. MEDICARE",
            "identifier": "P00452024",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173402202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173402206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Face Value Wellness & Spa
• Folashade Abosede Fadairo
• Tonia Fadare, NP
• Esraa Fadl
• Sarah Faegh
• Alexa Fagan, PHD
• Jetti Lynn Fahle
• Claudia Fahmy
• Cori B Faichtinger, OTR
• Alyssa Marie Fairchild, M.S., CCC-SLP

• Podiatrist in Katy, TX
• Providers in Katy, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.

Verify at the official NPI Registry.