DR. MAHTA AMIDI MD
NPI 1255079703
Psychiatry & Neurology - Neurology in Dallas, TX

Active since May 24, 2022PECOS Enrolled
5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-8000 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2026, May 24, 2022 (2 updates tracked since 2022).

About Dr. Mahta Amidi Md NPPES

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

DR. MAHTA AMIDI MD (NPI 1255079703) is an individual neurology provider in Dallas, Texas, licensed in Massachusetts (1025886) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255079703
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MAHTA AMIDICredential: MD
Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709
Mailing Address3663 Cedar Springs Rd Apt 405Dallas, TX 75219-5060 · (217) 714-0433
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 24, 2022
Last NPPES UpdateMay 9, 20262 updates tracked since enumeration
NPPES CertifiedMay 9, 2026
✔ NPI 1255079703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 1025886
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5200 HARRY HINES BLVD, Dallas, TX 75235

Secondary Practice Locations 2

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 726-2000
Location 275 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mahta Amidi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608334404
PECOS Enrollment IDI20260820004625
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mahta Amidi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 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.

Physician 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.

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.

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.

Urology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5200 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Cardiovascular Disease)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Anesthesiology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Medical Oncology)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Anesthesiology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Surgery
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Family)
5200 HARRY HINES BLVD
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 Mahta Amidi's NPI number?

The NPI number for Mahta Amidi is 1255079703. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Mahta Amidi located?

Mahta Amidi practices at 5200 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 590-8000.

What is Mahta Amidi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mahta Amidi enrolled in Medicare?

Yes. Mahta Amidi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mahta Amidi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahta Amidi reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). 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 Mahta Amidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahta Amidi accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Mahta Amidi 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 Mahta Amidi was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.