Organization Active NPI

Faisel Zaman MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1962038315
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
FAISEL ZAMAN MD LLC
Practice address
3609 Granada Ave
Dallas, TX 75205-2013
Phone
(469) 548-4897
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Faizel Zaman, MD
Title
Owner
Phone
(801) 244-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3609 Granada Ave
Dallas, TX 75205-2013

Mailing address

3609 Granada Ave
Dallas, TX 75205-2013
Phone (801) 244-0203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420002126 TX Part B Supplier - Clinic/Group Practice 8527498278 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

13101 Preston Rd
Ste 1103051
Dallas, TX 75240
Phone (801) 244-0203

Practitioners & affiliated clinicians

Practitioners 1

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": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1962038315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 GRANADA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052013",
            "telephone_number": "801-244-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 GRANADA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052013",
            "telephone_number": "469-548-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAISEL ZAMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "ZAMAN",
        "authorized_official_first_name": "FAIZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-244-0203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 26, 2021; 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.