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ENDOCRINOLOGY AND DIABETES SPECIALIST PA
NPI 1639574403
Clinic/Center - Medical Specialty in Dallas, TX

Active since October 23, 2014
11970 N CENTRAL EXPY, SUITE 630, DALLAS, TX 75243(972) 998-6711(972) 421-1677 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Endocrinology And Diabetes Specialist Pa NPPES

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

ENDOCRINOLOGY AND DIABETES SPECIALIST PA (NPI 1639574403) is a healthcare organization registered as a medical specialty in Dallas, Texas and active in the NPI registry since October 2014. The organization lists Maryam Zamanian, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1639574403
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameENDOCRINOLOGY AND DIABETES SPECIALIST PA
Location Address11970 N CENTRAL EXPY, SUITE 630Dallas, TX 75243-3768
Mailing Address11970 N Central Expy, Suite 630Dallas, TX 75243-3768 · (972) 998-6711 · Fax (972) 421-1677
Phone(972) 998-6711
Fax(972) 421-1677
Organization SubpartNo
Authorized OfficialMaryam ZamanianPhysician Owner · (972) 998-6711
Enumeration DateOctober 23, 2014
✔ NPI 1639574403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TX · M0612
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
11970 N CENTRAL EXPY, Dallas, TX 75243
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Endocrinology And Diabetes Specialist Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Endocrinology And Diabetes Specialist PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maryam Zamanian, MD
Endocrinology
NPI 1174508311
3600 GASTON AVE SUITE 454
Dallas, TX 75246
(214) 820-8940
✔ PECOS✔ Accepts Medicare8.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Endocrinology And Diabetes Specialist PA's NPI number?

The NPI number for Endocrinology And Diabetes Specialist PA is 1639574403. It was assigned to this organization in the NPPES registry on October 23, 2014.

Where is Endocrinology And Diabetes Specialist PA located?

Endocrinology And Diabetes Specialist PA is located at 11970 N Central Expy Suite 630, Dallas, TX 75243. The listed phone number is (972) 998-6711.

What is Endocrinology And Diabetes Specialist PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Endocrinology And Diabetes Specialist PA enrolled in Medicare?

Yes. Endocrinology And Diabetes Specialist PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Endocrinology And Diabetes Specialist PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Endocrinology And Diabetes Specialist PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Endocrinology And Diabetes Specialist PA was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.