Organization Active NPI

Farhad Niroomand, MD; PA

  • Specialist
  • Dallas, TX
National Provider Identifier
1891960977
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J9245 Issued in TX
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

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Farhad Niroomand, M.D.NPI 1730166695
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1276149-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000604 TX Part B Supplier - Clinic/Group Practice 7517129893 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.