Mohammad N Uddin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M8396 Issued in TX

Practice address

7151 Colleyville Blvd
Suite 103
Colleyville, TX 76034-8029

Phone

(817) 416-1931

Fax

(817) 488-8527

NPI assigned

Feb 21, 2007

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patient First Medical Group PAGroup PAC ID 4385709914, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Champion Healthcare of North Texas Hospice, Southlake, TX, CCN 741517
• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBEGBD/Endpoint/JBEGBD
• Direct secure messaging: mohammad.uddin@ptfgrp.eclinicaldirectplus.com
• Direct secure messaging: muddin225457@direct.sw.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patient First Medical Group PA

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1528206612
  Medicare reassignment Care Compare group NPD Authorized official
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1235135906
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Grapevine

  dba Baylor Scott & White Medical Center - Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation
• Bella Hospice and Healthcare LLC

  dba Champion Healthcare of North Texas

  • Community Based Hospice Care Agency
  • Southlake, TX
  • NPI 1336481258
  Care Compare affiliation

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1013052406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96221",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920127",
            "telephone_number": "469-733-3304",
            "fax_number": "469-733-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 COLLEYVILLE BLVD",
            "address_2": "SUITE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348029",
            "telephone_number": "817-416-1931",
            "fax_number": "817-488-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MOHAMMAD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "muddin225457@direct.sw.org",
            "affiliation": "N",
            "address_1": "1650 W College St Ste 150",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760513565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie Jean Tuggey, DDS
• TX Southern Dental PPO PC (Gateway Dental)
• TX Southern Dental PPO PC (Colleyville Family Dental)
• Christopher L Tye, MD DDS
• Pei-Yih Bryan Tzeng, MA, LPC
• United Supermarkets LLC (Market Street Pharmacy #1860)
• United Supermarkets, L.L.C.
• Babita Upreti
• Jonathan Michael Urrutia, DC
• Susan Diane Urry, CCC-SLP

• Family Medicine Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.