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MITRA PARTOW-SOROUSHI
NPI 1124187901
Dentist - General Practice in Lewisville, TX

Active since December 07, 2006PECOS Enrolled
1288 W MAIN ST STE 123, LEWISVILLE, TX 75067(972) 221-2220(972) 432-6522 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2026, Jun 11, 2025 (2 updates tracked since 2025).

About Mitra Partow-soroushi NPPES

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

MITRA PARTOW-SOROUSHI (NPI 1124187901) is an individual general practice provider in Lewisville, Texas, licensed in Texas (18192) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124187901
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMITRA PARTOW-SOROUSHI
Location Address1288 W MAIN ST STE 123Lewisville, TX 75067-3400
Mailing Address1288 W Main St Ste 123Lewisville, TX 75067-3400 · (972) 221-2220 · Fax (972) 432-6522
Phone(972) 221-2220
Fax(972) 432-6522
Sole ProprietorNo
Enumeration DateDecember 7, 2006
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1124187901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 18192
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1288 W MAIN ST STE 123, Lewisville, TX 75067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitra Partow-soroushi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75067 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MICHAEL NGUYEN DDS
Dentist (General Practice)
1288 W MAIN ST STE 123
LEWISVILLE, TX 75067
Denton County (972) 436-4975

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 Mitra Partow-soroushi's NPI number?

The NPI number for Mitra Partow-soroushi is 1124187901. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Mitra Partow-soroushi located?

Mitra Partow-soroushi practices at 1288 W Main St Ste 123, Lewisville, TX 75067. The listed phone number is (972) 221-2220.

What is Mitra Partow-soroushi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mitra Partow-soroushi enrolled in Medicare?

Yes. Mitra Partow-soroushi is registered in the Medicare PECOS enrollment system.

What insurance does Mitra Partow-soroushi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Mitra Partow-soroushi 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.

When was this NPI record last updated?

The NPPES record for Mitra Partow-soroushi was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.