Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohammad Reza Siadati, MD

Individual provider Surgery Physician · NPI 1194718452

Mohammad Reza Siadati, MD is a General Surgery in Grapevine, Texas. Graduated from Indiana University School of Medicine in 1994, 32 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
32
Trained at
Indiana University School of Medicine
Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone: (817) 267-2678
Fax: (817) 251-0039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M9006 (TX)

Record details

NPI number1194718452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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