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

Payam Ghaderi, AA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124650908

Payam Ghaderi, AA is an Anesthesiology Assistant in Houston, Texas. Qualified in 2020, 6 years ago. Practices with Dynamic Anesthesia Providers, PLLC, a 113-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

6720 Bertner Ave
Houston, TX 77030-2604
Phone: (823) 355-2666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 — (972) 715-5000
  • 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 — (972) 715-5000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 32697617 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124650908
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESMay 27, 2023
Certification dateMay 27, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dynamic Anesthesia Providers, Pllc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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