DR. DARIOUSH KAVOUSPOUR (MD) – Trauma Surgery Physician, NPI 1417956111

DR. DARIOUSH KAVOUSPOUR (MD) is a healthcare provider. based in Beaumont, Texas. specializing in GENERAL SURGERY, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. K4467 (TX). The NPI Number for DR. DARIOUSH KAVOUSPOUR (MD) is 1417956111

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. DARIOUSH KAVOUSPOUR (MD)
NPI
1417956111
Phone
(409) 899-8501
Address
2900 NORTH ST
Enumeration Date
15 July 2005
Last Update Date
19 September 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4098998501
Graduation Year
1990 (36 years ago)
PAC ID
8022153675
Group Practice PAC ID
3274532494
Professional Enrollment ID
I20110223000583
Address ID
TX777021149BE2965XSTXX315
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for DR. DARIOUSH KAVOUSPOUR (MD)

  • 2900, North Street, Beaumont, Jefferson County, Texas, 77702, United States

    SUITE 312

    BEAUMONT, TX 777021512

    Phone: (409) 899-8501

    Fax: (409) 899-8510

    Type: Location

  • 4355, Brownstone, Beaumont, Jefferson County, Texas, 77706, United States

    BEAUMONT, TX 777067468

    Phone: (409) 899-7863

    Fax: (409) 899-7862

    Type: Mailing

  • 2965 HARRISON ST STE 211

    BEAUMONT, TX 777021149

    Phone: (409) 899-8501

    Fax: (409) 899-8510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,181.

Total Amount is formed as General ($1,181) + Research ($0) + Ownership ($0) = $1,181.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($813).

Total Amount

$1,181

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2011-02-23

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
I20110223000583IGeneral SurgeryTXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2626$0
47562Removal of gallbladder using an endoscope1313$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 77702)

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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: 3274532494View full group profile
NameSpecialtyState
General Surgery, Emergency MedicineTX
Nurse PractitionerTX
General SurgeryTX
-TX

Reviews

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Frequently asked questions

How do payers reference DR. DARIOUSH KAVOUSPOUR (MD)?
For DR. DARIOUSH KAVOUSPOUR (MD), use NPI 1417956111 as the unique 10-digit identifier.
Would DR. DARIOUSH KAVOUSPOUR (MD) appear as active to a payer?
You can treat DR. DARIOUSH KAVOUSPOUR (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. DARIOUSH KAVOUSPOUR (MD)?
DR. DARIOUSH KAVOUSPOUR (MD) is associated with Trauma Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DARIOUSH KAVOUSPOUR (MD)?
Directory geography for DR. DARIOUSH KAVOUSPOUR (MD) centers on Beaumont, Texas.
When was this NPI issued?
Enumeration for DR. DARIOUSH KAVOUSPOUR (MD) is noted as July 15, 2005 where the registry provides it.

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