Valla Djafari, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M9977 Issued in TX

Practice address

4010 Sandy Brook Dr
Suite 105
Round Rock, TX 78665-1516

Phone

(512) 651-2201

Fax

(512) 651-2207

NPI assigned

May 20, 2006

Last updated

Mar 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: valla.djafari.p1@direct.nri.nextgenshare.com

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.

• Texas Retina Institute PA

  dba Texas Retina Institute

  • Ophthalmology Physician
  • Round Rock, TX
  • NPI 1528395993
  Authorized official Same address or phone
• Bert M. Glaser National Retina Institute, LLC

  dba The National Retina Institute

  • Ophthalmology Physician
  • Towson, MD
  • NPI 1962456780
  NPD (past)
• Gitter and Cohen a Medical Corporation

  dba Retina Associates New Orleans

  • Retina Specialist (Ophthalmology) Physician
  • Metairie, LA
  • NPI 1740379783
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1881648038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR",
            "address_2": "SUITE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651516",
            "telephone_number": "512-651-2201",
            "fax_number": "512-651-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR",
            "address_2": "SUITE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651516",
            "telephone_number": "512-651-2201",
            "fax_number": "512-651-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAFARI",
        "first_name": "VALLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101237522",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0062707",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M9977",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "M9977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010133840",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010134161",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8F23832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Dinsmore, LCDC
• Arika Dipasquale
• Vijay Divakaran, MD
• Lena A. Dixit, M.D.
• Lerome Dixon
• Hannah DO, MD
• Josephine Nina DO, OD
• Michael Kim DO, M.D.
• Doctx3 PLLC
• Matthew Robert Doerfler

• Ophthalmology Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.