SASAN MIRFAKHRAEE MD
NPI 1013063627
Internal Medicine - Endocrinology, Diabetes & Metabolism in Dallas, TX

Q: What is Sasan Mirfakhraee's NPI number?

The NPI number for Sasan Mirfakhraee is 1013063627. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Sasan Mirfakhraee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Sasan Mirfakhraee was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment

74.59/100

CMS Quality Rating

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 645-2800(214) 645-2808 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sasan Mirfakhraee Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SASAN MIRFAKHRAEE MD (NPI 1013063627) is an individual endocrinology, diabetes & metabolism provider in Dallas, Texas, licensed in Texas (N3181) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2006).

NPPES Registry Identity

NPI1013063627

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameSASAN MIRFAKHRAEECredential: MD

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7201

Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 645-2800 · Fax (214) 645-2808

Phone(214) 645-2800

Fax(214) 645-2808

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2006

Enumeration DateJanuary 26, 2007

Last NPPES UpdateAugust 17, 2012

✔ NPI 1013063627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in TX · N3181

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License N3181 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL-1957 (CO)

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sasan Mirfakhraee Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971752502

PECOS Enrollment IDI20120925000776

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

148 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

139 services105 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

101 services96 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

51 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

39 services28 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

27 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450015

Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County

Emergency services Birthing friendly

Ut Southwestern University Hospital - William P. Clements Jr.

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450044

Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.12

Promoting Interoperability

100

Improvement Activities

Cost

59.2

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

4 suppliers27 claims348 services$18.23 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

4 suppliers28 claims930 services$2.35 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims13 services$175.91 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

28 suppliers59 claims264 services$5.75 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers13 claims27 services$1.11 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

14 suppliers233 claims237 services$187.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDEEP GUTTIKONDA MD

Emergency Medicine