Individual provider Active NPI

Arash Manzori, DO

  • Cardiovascular Disease Physician
  • Mansfield, TX
National Provider Identifier
1962466367
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L3003 Issued in TX
Practice address
2800 E Broad St Ste 522
Mansfield, TX 76063-6417
Phone
(682) 242-8970
Fax
(214) 947-8668
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X L3003 TX
Cardiovascular Disease Physician 207RC0000X L3003 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 522
Mansfield, TX 76063-6417

Mailing address

2800 E Broad St Ste 522
Mansfield, TX 76063-6417
Phone (682) 242-8970

Other identifiers 4

IdentifierTypeStateIssuer
149603601MedicaidTX
149603604MedicaidTX
8BQ731OtherTXBCBS
P00658229OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000736 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7214014620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of North Texas HSC, College of Osteopathic Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

252 Matlock Rd
Suite 130
Mansfield, TX 76063-4295
Phone (817) 473-7184

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jul 23, 2020 Accepting new patients
Medhealth CurrentSince Jul 23, 2020 Accepting new patients
CPR Diagnostics LP Cardiovascular Disease Past Accepting new patients
Heartplace, PLLC Cardiovascular Disease Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

252 Matlock Rd
Ste 130
Mansfield, TX 76063
Phone (682) 242-8990

2800 E Broad St
Ste 204
Mansfield, TX 76063
Phone (682) 900-4174

2800 E Broad St
Ste 522
Mansfield, TX 76063
Phone (682) 242-8970

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: amanzori14303@dm.mhd.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Health Heart & Vascular HospitalArlington, TX, CCN 670071 Hospital 5% Or Greater Direct Ownership Interest
General Partnership Interest
Jun 6, 2005
Jun 6, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1962466367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 522",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636417",
            "telephone_number": "682-242-8970",
            "fax_number": "214-947-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 522",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636417",
            "telephone_number": "682-242-8970",
            "fax_number": "214-947-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZORI",
        "first_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "L3003",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L3003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149603601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149603604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BQ731",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00658229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.