Mohamad S Al-Rifai, MD
Individual provider Active NPI Neurology with Special Qualifications in Child Neurology Physician · Sherman, TX
NPI 1023016458 · NPPES record last updated Feb 6, 2014
Key facts
- NPI
- 1023016458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- L1258 (TX)
- Practice address
- 321 N Highland Ave
Suite 200
Sherman, TX 75092-7378 - Phone
- (903) 893-5141
- Fax
- (903) 891-4285
- NPI assigned
- Jul 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texoma Neurology Associates, PA
Practice addresses (Care Compare)
1804 Chuckwa Dr
Durant, OK 74701-2146
Phone (580) 920-1141
2201 S Austin Ave
Denison, TX 75020-7723
Phone 9038935141431
321 N Highland Ave
Suite 200
Sherman, TX 75092-7371
Phone 90389351414355
475 Elm St
Suite 104
Lewisville, TX 75057-3764
Phone 90389351414355
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, OK, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061011000067 | TX | Practitioner - Pediatric Medicine |
2163467747 | Reassigns benefits to 1 organization |
| I20120209000552 | OK | Practitioner - Neurology | 2163467747 | Reassigns benefits to 1 organization |
| I20231220001006 | MN | Practitioner - Neurology | 2163467747 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Grayson Hospital LLC | Current | Accepting new patients | |
| Gillette Children'S Specialty Healthcare | Current |
Accepting new patients | |
| Gillette Children'S Specialty Healthcare | Current |
Accepting new patients | |
| Texoma Neurology Associates, PA | Neurology | Current |
Accepting new patients |
| Uhs of Texoma, Inc | Past | Accepting new patients | |
| Talis Healthcare LLC | Past | Accepting new patients |
Locations
200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848
1804 Chuckwa Dr
Durant, OK 74701
Phone (580) 920-1141
2623 Matlock Rd
Ste 103
Arlington, TX 76015
Phone (817) 275-1900
221 W Colorado Blvd
Ste 943
Dallas, TX 75208
Phone (214) 941-9888
2201 S Austin Ave
Denison, TX 75020
Phone (214) 463-4752
475 Elm St
Ste 104
Lewisville, TX 75057
Phone 90389351414355
3017 E Renner Rd
Ste 110
Richardson, TX 75082
Phone (214) 463-4752
321 N Highland Ave
Ste 210
Sherman, TX 75092
Phone (903) 891-5141
321 N Highland Ave
Ste 200
Sherman, TX 75092
Interoperability endpoints
- mohamadal-rifai@wnjrmc.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/IBJHAA/Endpoint/IBJHAA
- mohamad.alrifai@tna.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | L1258 | TX | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | L1258 | TX | Yes |
Addresses
Primary practice location
321 N Highland Ave
Suite 200
Sherman, TX 75092-7378
Mailing address
321 N Highland Ave
Suite 200
Sherman, TX 75092-7378
Phone (903) 893-5141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030289503 | Medicaid | TX | |
| 8151K2 | Other | TX | BLUE CROSS |
| 100058120A | Medicaid | OK |
Other providers in Sherman, TX
- Oluyemi Aina
- Air Evac EMS Inc.
- Colby Ake
- Janet Oluwagbemisola Akinpelu
- Mudher Al Mudhafar
- Alain Z Tocatjian MD PA
- Albertsons LLC
- Michael Albright
- Maria Dora Alcacio Rubio
- Alcoholic Services of Texoma
All providers in Sherman, TX · Neurology with Special Qualifications in Child Neurology 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 Feb 6, 2014. 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.
- Order and Referring (CMS).
- 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.