DR. FARZAD FAKOURI (M.D. , MPH) – Internal Medicine Physician, NPI 1043408495

DR. FARZAD FAKOURI (M.D. , MPH) is a healthcare provider. based in Tyler, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. , MPH. They hold a License No. N0755 (TX). The NPI Number for DR. FARZAD FAKOURI (M.D. , MPH) is 1043408495

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. FARZAD FAKOURI (M.D. , MPH)
NPI
1043408495
Phone
(325) 670-5570
Address
1000 S BECKHAM AVE
Enumeration Date
11 October 2007
Last Update Date
6 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035318109
Graduation Year
1993 (33 years ago)
PAC ID
7517026859
Group Practice PAC ID
4486915600
Professional Enrollment ID
I20081031000509
Address ID
TX757011950TY701XXCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for DR. FARZAD FAKOURI (M.D. , MPH)

  • East Texas Medical Center - Tyler, 1000, South Beckham Avenue, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757011908

    Phone: (325) 670-5570

    Fax: (325) 670-5577

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($100).

Total Amount

$199

General + Research + Ownership

Payments

2

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081031000509IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes343207$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes329151$0
99497Advance care planning, first 30 minutes176169$0
99239Hospital discharge day management, more than 30 minutes158148$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes119118$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486915600View full group profile
NameSpecialtyState
-TX
Pulmonary Disease, Critical Care (Intensivists)TX
Vascular Surgery, Thoracic Surgery, General SurgeryWV
Physician AssistantTX
A N E S T H E S I O L O G YTX
Orthopedic SurgeryTX
-TX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What is the standard ID for DR. FARZAD FAKOURI (M.D. , MPH) in the U.S.?
In the U.S., DR. FARZAD FAKOURI (M.D. , MPH) is identified by NPI 1043408495.
Is DR. FARZAD FAKOURI (M.D. , MPH) currently accepting referrals based on NPI status?
Registry metadata lists DR. FARZAD FAKOURI (M.D. , MPH) as active.
What services align with DR. FARZAD FAKOURI (M.D. , MPH)'s listing?
DR. FARZAD FAKOURI (M.D. , MPH)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. FARZAD FAKOURI (M.D. , MPH) tied to Tyler, Texas?
If you are local to Tyler, Texas, DR. FARZAD FAKOURI (M.D. , MPH) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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