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DR. RASSA SHAHIDZADEH M.D. NPI 1366563959


NPI Information

NPI: 1366563959
Provider Name: DR. RASSA SHAHIDZADEH, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Organization: HEALTHTEXAS PROVIDER NETWORK

PECOS Registration: Yes

Address:
4708 ALLIANCE BLVD
SUITE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX
ZIP 75093
Phone: (972) 758-6000
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DR. Rassa Shahidzadeh, M.D. is a gastroenterology internal medicine in Plano, TX with 23 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Rassa Shahidzadeh, M.D. NPI is 1366563959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

4708 ALLIANCE BLVD
SUITE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX
ZIP 75093-340
Phone: (972) 758-6000
Fax: (972) 758-6001

The NPI 1366563959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)
  • Diagnostic examination of large bowel using an endoscope (HCPCS:45378)

The enumeration date for this NPI number is 4/2/2007 and was last updated on 11/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology055794GEORGIANo
2207RG0100XInternal MedicineGastroenterologyL6176TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202721102MEDICAIDTEXAS
2L6176OTHERTEXASTEXAS STATE LICENSE
38K7372MEDICARE PINTEXAS
4055794OTHERGEORGIAGEORGIA STATE LICENSE
58BG110OTHERTEXASBCBS
6202721101MEDICAIDTEXAS
78K7115MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.