PROSHAD NEMATI EFUNE M.D.
NPI 1104056423
Anesthesiology - Pediatric Anesthesiology in Dallas, TX
About Proshad Nemati Efune M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROSHAD NEMATI EFUNE M.D. (NPI 1104056423) is an individual pediatric anesthesiology provider in Dallas, Texas, licensed in Texas (P3213) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Childrens Medical Ctr Of Dallas, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2009).
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Proshad Nemati Efune M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Proshad Efune reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75390
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 424 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Childrens Medical Ctr Of Dallas
Childrens · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Proshad Efune's NPI number?
The NPI number for Proshad Efune is 1104056423. It was assigned to this individual provider in the NPPES registry on July 21, 2009.
Where is Proshad Efune located?
Proshad Efune practices at 5201 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (817) 925-9871.
What is Proshad Efune's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.
Is Proshad Efune enrolled in Medicare?
Yes. Proshad Efune is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Proshad Efune's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Proshad Efune reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Dallas Physician Medical Services For Children Inc (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Proshad Efune's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Proshad Efune accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Proshad Efune as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Proshad Efune affiliated with any hospitals?
According to CMS data, Proshad Efune is affiliated with Childrens Medical Ctr Of Dallas.
When was this NPI record last updated?
The NPPES record for Proshad Efune was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Proshad Nemati Efune, M.D. · NPI 1104056423
Pediatric Anesthesiology physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since July 21, 2009.
## Identity
- **NPI:** 1104056423 (Entity type: Individual)
- **Enumerated:** July 21, 2009
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** P3213 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5201 HARRY HINES BLVD, Dallas, TX 75235
- **Phone:** (817) 925-9871
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Texas Southwestern Medical Center At Dallas (NPI 1083669766, Dallas, TX); Dallas Physician Medical Services For Children Inc (NPI 1194153650, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2009
## Record status
- **NPPES last updated:** August 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104056423) · Data from the CMS NPPES public registry.