Active NPI
Farhad Niroomand, MD; PA
- Specialist
- Dallas, TX
National Provider Identifier
1891960977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J9245
- Legal business name
- FARHAD NIROOMAND, MD; PA
- Practice address
- 2501 Oak Lawn Ave
Suite 450
Dallas, TX 75219-4019 - Phone
- (214) 303-1102
- Fax
- (469) 341-0333
- NPI assigned
- Apr 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Farhad Niroomand, M.D.
- Title
- President
- Phone
- (214) 303-1102
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | J9245 | TX | Primary |
Addresses
Primary practice location
2501 Oak Lawn Ave
Suite 450
Dallas, TX 75219-4019
Mailing address
2501 Oak Lawn Ave
Suite 450
Dallas, TX 75219-4019
Phone (214) 303-1102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1276149-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120502000604 | TX | Part B Supplier - Clinic/Group Practice | 7517129893 |
Receives reassigned benefits from 3 practitioners Practice locations: Dallas, TX |
National Provider Directory
National Provider DirectoryLocations
2501 Oak Lawn Ave
Ste 450
Dallas, TX 75219
Phone (214) 303-1102
4144 N Central Expy
Ste 855
Dallas, TX 75204
Phone (214) 303-1102
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- North Richland Hills, TX
- NPI 1437470382
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409788800000",
"number": "1891960977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 OAK LAWN AVE",
"address_2": "SUITE 450",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194019",
"telephone_number": "214-303-1102",
"fax_number": "469-341-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 OAK LAWN AVE",
"address_2": "SUITE 450",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194019",
"telephone_number": "214-303-1102",
"fax_number": "469-341-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARHAD NIROOMAND, MD; PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2014-09-04",
"status": "A",
"authorized_official_last_name": "NIROOMAND",
"authorized_official_first_name": "FARHAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-303-1102",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "J9245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1276149-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.