Individual provider Active NPI

Semyon Narosov, MSPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1952418972
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1065530 Issued in TX
Practice address
2351 W Northwest Hwy
Ste 3100
Dallas, TX 75220-4433
Phone
(214) 352-3000
Fax
(214) 358-2418
NPI assigned
Aug 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1065530 TX Primary

Addresses

Primary practice location

2351 W Northwest Hwy
Ste 3100
Dallas, TX 75220-4433

Mailing address

PO Box 781667
Dallas, TX 75378-1667
Phone (214) 352-3000

Other identifiers 1

IdentifierTypeStateIssuer
8T4657OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1065530TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Doctors, PA PastSince Jul 24, 2017 Accepting new patients
Neuro Emg PA PastSince Jul 15, 2000 Accepting new patients
Medicus Laboratories, LLC PastSince Sep 1, 2010 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952418972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781667",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753781667",
            "telephone_number": "214-352-3000",
            "fax_number": "214-358-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY",
            "address_2": "STE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204433",
            "telephone_number": "214-352-3000",
            "fax_number": "214-358-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAROSOV",
        "first_name": "SEMYON",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1065530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T4657",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.