Ardeshir Faghih Nia, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24784 Issued in OK

Practice address

1211 E Lincoln Rd
Idabel, OK 74745-7342

Phone

(580) 286-4300

Fax

(580) 286-5530

NPI assigned

Jul 14, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Pediatrics, LLCGroup PAC ID 2668856477, 3 clinicians

Prophylaxis Healthcare LLCGroup PAC ID 3072784289, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21021/brand/1/csg/1/fhir/r4

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.

• Triad Pediatrics, LLC

  • Family Nurse Practitioner
  • Kingfisher, OK
  • NPI 1477290591
  Medicare reassignment Care Compare group NPD
• Prophylaxis Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Bixby, OK
  • NPI 1538453923
  Medicare reassignment Care Compare group
• Triad Health Systems LLC

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1245867258
  Medicare reassignment NPD
• Ennoble HC NJ PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1306500764

  OK

  Medicare reassignment NPD
• Prophylaxis Healthcare LLC

  • Community/Behavioral Health Agency
  • Bixby, OK
  • NPI 1285438317
  NPD
• Wise Holdings LLC

  • Pain Medicine Physician
  • Poteau, OK
  • NPI 1396344800
  NPD
• Little River Emergency Physicians LLC

  • Emergency Medicine Physician
  • Idabel, OK
  • NPI 1235431107
  NPD (past)
• DHHS PHS Naihs Fort Defiance Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1700962131
  NPD (past)
• Senior Health Care Associates, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Southfield, MI
  • NPI 1770694374
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1902822802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457342",
            "telephone_number": "580-286-4300",
            "fax_number": "580-286-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457342",
            "telephone_number": "580-286-4300",
            "fax_number": "580-286-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIA",
        "first_name": "ARDESHIR",
        "middle_name": "FAGHIH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00756955",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Joesine Neatherlin
• //Brenda Kay Nelson, MED
• Deborah Annette Nelson, BS, MED
• Neon Clinic, Inc
• Jennifer Rebecca Newman
• Courtney L Nolen
• Tiffany Norton
• Oak Grove Manor, Inc
• Lisa D Ortiz, M.D.
• Cecil Osterdock, BA, BHRS,CM

• Internal Medicine Physician in Idabel, OK
• Providers in Idabel, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.