LIDA AGHDAM MD
NPI 1376572115
Internal Medicine in The Colony, TX

Active since July 02, 2006Opted out of Medicare · through Jan 1, 2027CLIA 45D1052228 · Microscopy
4819 STATE HIGHWAY 121 STE 14, THE COLONY, TX 75056(817) 488-7878(817) 488-7877 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lida Aghdam Md NPPES

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

LIDA AGHDAM MD (NPI 1376572115) is an individual internal medicine provider in The Colony, Texas, licensed in Texas (L4208) and active in the NPI registry since July 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer and holds a CLIA Microscopy certificate valid through May 17, 2027.

NPPES Registry Identity

NPI1376572115
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLIDA AGHDAMCredential: MD
Location Address4819 STATE HIGHWAY 121 STE 14The Colony, TX 75056-2908
Mailing Address4819 State Highway 121 Ste 14The Colony, TX 75056-2908 · (817) 488-7878 · Fax (817) 488-7877
Fax(817) 488-7877
Sole ProprietorNo
Enumeration DateJuly 2, 2006
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
NPI 1376572115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · L4208
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4819 STATE HIGHWAY 121 STE 14, The Colony, TX 75056

Other Identifiers 1

Other8BM85TX · Bcbs Of Texas

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lida Aghdam Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1052228

Lida Aghdam, MD · The Colony, TX
Active · expires May 17, 2027
CLIA Number45D1052228
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorLida Aghdam
Laboratory Phone(817) 488-7878
Laboratory LocationLida Aghdam, MD4819 State Hwy 121 #14, The Colony, TX 75056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75056 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Lida Aghdam's NPI number?

The NPI number for Lida Aghdam is 1376572115. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Lida Aghdam located?

Lida Aghdam practices at 4819 State Highway 121 Ste 14, The Colony, TX 75056. The listed phone number is (817) 488-7878.

What is Lida Aghdam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lida Aghdam enrolled in Medicare?

No. Lida Aghdam has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Lida Aghdam hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1052228) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lida Aghdam accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Lida Aghdam 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 Lida Aghdam was last updated on August 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.