KHASHAYAR FATTAH
NPI 1255181616
Student in an Organized Health Care Education/Training Program in Dallas, TX
About Khashayar Fattah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHASHAYAR FATTAH (NPI 1255181616) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Khashayar Fattah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75390
DALLAS, TX 75390
DALLAS, TX 75390
DALLAS, TX 75390
DALLAS, TX 75390
DALLAS, TX 75390
DALLAS, TX 75390
DALLAS, TX 75390
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 Khashayar Fattah's NPI number?
The NPI number for Khashayar Fattah is 1255181616. It was assigned to this individual provider in the NPPES registry on March 26, 2024.
Where is Khashayar Fattah located?
Khashayar Fattah practices at 5323 Harry Hines Boulevard Dallas Texas 75390, Dallas, TX 75390. The listed phone number is (214) 648-3433.
What is Khashayar Fattah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Khashayar Fattah enrolled in Medicare?
Yes. Khashayar Fattah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Khashayar Fattah was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Khashayar Fattah · NPI 1255181616
Student in an Organized Health Care Education/Training Program provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since March 26, 2024.
## Identity
- **NPI:** 1255181616 (Entity type: Individual)
- **Enumerated:** March 26, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5323 HARRY HINES BOULEVARD DALLAS TEXAS 75390, Dallas, TX 75390-9066
- **Phone:** (214) 648-3433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255181616) · Data from the CMS NPPES public registry.