Organization Active NPI

Mohamad Saad DO PLLC

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1003127754
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N2765 Issued in TX
Legal business name
MOHAMAD SAAD DO PLLC
Practice address
909 9TH Ave
Suite 208
Fort Worth, TX 76104-3903
Phone
(817) 404-9861
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohamad Saad, DONPI 1396934113
Title
President
Phone
(817) 313-2415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X N2765 TX Primary

Addresses

Primary practice location

909 9TH Ave
Suite 208
Fort Worth, TX 76104-3903

Mailing address

909 9TH Ave Ste 401
Fort Worth, TX 76104-3918
Phone (817) 404-9861

Other names 1

  • North Texas Advanced Laparoscopic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101214000769 TX Part B Supplier - Clinic/Group Practice 7416144688 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24577/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1003127754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE STE 401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043918",
            "telephone_number": "817-404-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-404-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMAD SAAD DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-313-2415",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Advanced Laparoscopic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Texas Advanced Laparoscopic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.