Individual provider Active NPI

Ahmad Ghassan Abazid, M.D

  • Family Medicine Physician
  • Richardson, TX
National Provider Identifier
1013238401
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7769 Issued in TX
Practice address
888 S Greenville Ave Ste 304
Richardson, TX 75081-5044
Phone
(469) 684-5450
NPI assigned
Jun 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 284559 NY
Family Medicine Physician 207Q00000X 27230 OK
Geriatric Medicine (Family Medicine) Physician 207QG0300X N7769 TX
Urgent Care Clinic/Center 261QU0200X N7769 TX
Family Medicine Physician 207Q00000X N7769 TX Primary

Addresses

Primary practice location

888 S Greenville Ave Ste 304
Richardson, TX 75081-5044

Mailing address

4927 Lake Ridge Pkwy Ste 100
Grand Prairie, TX 75052

Other practice location 1

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-3820

Other practice location 2

4300 City Point Dr Ste 203
North Richland Hills, TX 76180-8380
Phone (817) 599-1269

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000711 TX Practitioner - Family PracticePractitioner - Emergency Medicine 5698950368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

888 S Greenville Ave
Suite 304
Richardson, TX 75081-5044
Phone (469) 684-5450

Hospital & facility affiliations

  • Avir at Kennedale Nursing home, Kennedale, TX, CCN 675270
  • Avir at Arlington Nursing home, Arlington, TX, CCN 675877

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27230OKMDFamily Medicine Physician
N7769TXMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Haskell County Hospital CurrentSince Aug 1, 2013 Accepting new patients
Awesome Care PLLC Family Medicine CurrentSince Feb 28, 2022 Accepting new patients
Haskell County Hospital CurrentSince Aug 1, 2013 Accepting new patients
Haskell County Hospital Current Accepting new patients
Concord Medical Group PLLC CurrentSince Apr 16, 2013 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 16, 2013 Accepting new patients
Lonestar Provider Network Past Accepting new patients
Summit LTC Kennedale, LLC Past Accepting new patients
KTX Emergency Physicians PLLC Past Accepting new patients

Locations

301 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 460-2002

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

888 S Greenville Ave
Ste 304
Richardson, TX 75081
Phone (469) 684-5450

2501 Maple Ave
Waco, TX 76707
Phone (254) 752-0311

Interoperability endpoints

  • Direct secure messaging: ahmad.abazid@awesome.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEGCD/Endpoint/GGEGCD

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1013238401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S GREENVILLE AVE STE 304",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815044",
            "telephone_number": "469-684-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "718-270-3820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 City Point Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761808380",
            "country_code": "US",
            "telephone_number": "817-599-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABAZID",
        "first_name": "AHMAD",
        "middle_name": "GHASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-20",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "284559",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27230",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "N7769",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "N7769",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.