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SIADATI SURGICAL CONSULTING LLC
NPI 1164024170
Surgery in Grapevine, TX

Active since November 13, 2020
2050 HALL JOHNSON RD STE 200, GRAPEVINE, TX 76051(817) 267-2678 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Siadati Surgical Consulting Llc NPPES

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

SIADATI SURGICAL CONSULTING LLC (NPI 1164024170) is a healthcare organization registered as a surgery in Grapevine, Texas and active in the NPI registry since November 2020. The organization lists Mohammad R Siaditi, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1164024170
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSIADATI SURGICAL CONSULTING LLC
Location Address2050 HALL JOHNSON RD STE 200Grapevine, TX 76051-8766
Mailing Address2050 Hall Johnson Rd Ste 200Grapevine, TX 76051-8766
Phone(817) 267-2678
Organization SubpartNo
Authorized OfficialMohammad R SiaditiOwner/physician · (972) 890-3459
Enumeration DateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1164024170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2050 HALL JOHNSON RD STE 200, Grapevine, TX 76051
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MRS. ALISON LYNCH PA-C
Physician Assistant
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 267-2678
MICHELE LEIGH SKLADZIEN PA
Physician Assistant
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 267-2678
MOHAMMAD REZA SIADATI MD
Surgery
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 267-2678
DR. ROBERT S. POLLARD M.D.
Surgery
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 267-2678
DR. MELVIN JOSEPH ELIESON MD
Surgery
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 267-2678
SURGICAL ASSOCIATES OF THE MID-CITIES PA
Surgery
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 267-2678
MICHAEL WILLIAM BRYAN MD
Surgery
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 267-2678
THOMAS KANE KLEINSCHMIDT M.D.
Surgery
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 267-2678

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 Siadati Surgical Consulting LLC's NPI number?

The NPI number for Siadati Surgical Consulting LLC is 1164024170. It was assigned to this organization in the NPPES registry on November 13, 2020.

Where is Siadati Surgical Consulting LLC located?

Siadati Surgical Consulting LLC is located at 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051. The listed phone number is (817) 267-2678.

What is Siadati Surgical Consulting LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Siadati Surgical Consulting LLC was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.