Advanced Gastroenterology Associates, PA
Organization Active NPI Gastroenterology Physician · Decatur, TX
NPI 1003049032 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1003049032
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- ADVANCED GASTROENTEROLOGY ASSOCIATES, PA
- Practice address
- 902 Preskitt Rd Ste 300
Decatur, TX 76234-4124 - Phone
- (940) 626-1864
- Fax
- (972) 377-3156
- NPI assigned
- Aug 25, 2009
- Organization subpart
- No
Authorized official
- Name
- Muhammad Asim, MD
- Title
- President
- Phone
- (917) 336-8422
Practitioners 23
-
Muhammad Asim, MD
-
Dwayne Emmons, CRNA
-
Nathan Allen Lauchner, CRNA
-
Mauro Alberto Molina, CRNA
-
Roshan Raza, MD
-
William F Wolfe, C.R.N.A.
-
Amanda White, CRNA
-
Omair Atiq, MD
-
Megan Baker, APRN, FNP-C
-
Erika Bean, FNP
-
Margaret Marie Galvez, DNP, NP
-
Joseph Scott Houghton, CRNA
-
Aimee Lin Simington, NP-C
-
Amber Lanae Smith, M.D.
-
Justin Randall Smith, CRNA
-
Donghong Cai, MD
-
Ghulam Ilyas, M.D
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2257356 | Advanced Gastroenterology Associates, PA | Compliance | May 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100122000620 | TX | Part B Supplier - Clinic/Group Practice | 2264574649 |
Receives reassigned benefits from 23 practitioners Practice locations: Decatur, TX; Fort Worth, TX |
National Provider Directory
Locations
609 Medical Center Dr
Ste 2600
Decatur, TX 76234
Phone (940) 626-1864
3412 N Tarrant Pkwy
Fort Worth, TX 76177
8900 Medical City Way
Fort Worth, TX 76177
Phone (817) 233-1016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
902 Preskitt Rd Ste 300
Decatur, TX 76234-4124
Mailing address
PO Box 93477
Southlake, TX 76092-9998
Phone (214) 415-6845
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A5686 | Other | GROUP PTAN |
Other providers in Decatur, TX
- Acellerated Interventional Orthopedics
- Robert Amadi Achilike
- Action Orthopaedics and Sports Medicine, PLLC
- Megan Nicole Adams
- Addiction Behavioral Services
- Air Evac EMS Inc.
- Alan Stockard, D.O., P.a.
- Alfred a. Santos, M.D., P.a.
- Allen Specialty Pharmacy, Inc
- Jefferson B Alling
All providers in Decatur, TX · Gastroenterology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.