Individual provider Active NPI

Waseem Ahmed, M.D.

  • Psychiatry Physician
  • Abilene, TX
National Provider Identifier
1023139581
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K1767 Issued in TX
Practice address
1680 Antilley Rd Ste 320
Abilene, TX 79606-5247
Phone
(325) 480-2900
NPI assigned
Apr 3, 2007
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X F1767 TX
Psychiatry Physician 2084P0800X K1767 TX Primary

Addresses

Primary practice location

1680 Antilley Rd Ste 320
Abilene, TX 79606-5247

Mailing address

4730 College Dr
6515 Kemp Blvd
Vernon, TX 76384-4009
Phone (940) 552-9901

Other practice location 1

4730 College Dr
6515 Kemp Blvd
Vernon, TX 76384-4009
Phone (940) 552-9901

Other identifiers 3

IdentifierTypeStateIssuer
047132811MedicaidTX
047132802MedicaidTX
047132813MedicaidTX

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
I20100809000623 TX Practitioner - Psychiatry 0840323093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Hope Behavioral Health LLCGroup PAC ID 7810260601, 5 clinicians

Practice addresses (Care Compare)

1500 Industrial Blvd
Suite 202
Abilene, TX 79602-8004
Phone (325) 480-2900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1767TXMDPsychiatry Physician
F1767TXMDPsychiatric Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District CurrentSince Nov 1, 2018 Accepting new patients
Dallas County Hospital District Psychiatry CurrentSince Nov 1, 2018 Accepting new patients
Dallas County Hospital District Current Accepting new patients
Mava Healthcare System LLC Psychiatry CurrentSince Mar 4, 2020 Accepting new patients
Jamison Professional Counseling Center Inc Past Accepting new patients
HHM LLC Psychiatry Past Accepting new patients

Locations

2231 Butler St
#150
Dallas, TX 75235
Phone (214) 590-8396

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

18230 FM 1488 Rd
Ste 201
Magnolia, TX 77354
Phone (832) 810-0200

25319 Interstate 45
Ste 100
Spring, TX 77380
Phone (832) 810-0200

Interoperability endpoints

  • Direct secure messaging: wahmed33433@direct.phhs.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1023139581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 COLLEGE DR",
            "address_2": "6515 KEMP BLVD",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844009",
            "telephone_number": "940-552-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ANTILLEY RD STE 320",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065247",
            "telephone_number": "325-480-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4730 College Dr",
            "address_2": "6515 Kemp Blvd",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "TX",
            "postal_code": "763844009",
            "country_code": "US",
            "telephone_number": "940-552-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "WASEEM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "F1767",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K1767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047132811",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047132802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047132813",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.