Active NPI
Sadat Anwar Shamim, M.D.
- Neurology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101238223
- Practice address
- 3600 Gaston Ave
Suite 1155
Dallas, TX 75246-1800 - Phone
- (214) 820-4688
- Fax
- (214) 820-4562
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101238223 | VA | Primary |
Addresses
Primary practice location
3600 Gaston Ave
Suite 1155
Dallas, TX 75246-1800
Mailing address
3600 Gaston Ave
Suite 1155
Dallas, TX 75246-1800
Phone (214) 820-4688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1856379 | Medicaid | TX | |
| 1856379-02 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sshamim226216@direct.sw.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical Pkwy
Lakeway, TX 78738-5621
Phone (512) 571-5000
1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440
1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8485
2005 W Park Dr
Irving, TX 75061-2034
3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100
4001 Worth St
Dallas, TX 75246-1608
6800 Scenic Dr
Suite 1071
Rowlett, TX 75088-4552
Phone (972) 535-2946
7501 Lakeview Pkwy
Rowlett, TX 75088-9323
Hospital & facility affiliations
- Baylor University Medical Center
- Baylor Scott & White Medical Center Grapevine
- Baylor Scott & White Medical Center- College Stati
- Baylor Scott and White Medical Center Lake Pointe
- Baylor Scott & White Medical Center at Irving
- Baylor Scott & White Institute for Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101238223 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Neurology | Current | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Diagnostic Imaging Center at Texas Neurology | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
3600 Gaston Ave
Ste 1155
Dallas, TX 75246
Phone (214) 820-4688
3417 Gaston Ave
Ste 935
Dallas, TX 75246
Phone (469) 800-7680
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Dallas, TX
- NPI 1952850810
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
-
- General Acute Care Hospital
- College Station, TX
- NPI 1265772362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1013064435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "SUITE 1155",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-820-4688",
"fax_number": "214-820-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "SUITE 1155",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-820-4688",
"fax_number": "214-820-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMIM",
"first_name": "SADAT",
"middle_name": "ANWAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101238223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1856379",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1856379-02",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sshamim226216@direct.sw.org",
"affiliation": "N",
"address_1": "3417 Gaston Ave Ste 935",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752462036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.