Active NPI
Faheem Mahomed, M.D.
- Pediatric Rehabilitation Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- T8264
- Practice address
- 1601 Trinity St
Austin, TX 78712-1765 - Phone
- (512) 913-5011
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | A168524 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10055696 | TX | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | T8264 | TX | Primary |
Addresses
Primary practice location
1601 Trinity St
Austin, TX 78712-1765
Mailing address
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 567-5300
Other practice location 1
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-8145
Other practice location 2
4860 Y St Ste 3850
Sacramento, CA 95817-2307
Phone (916) 734-5292
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A168524 | CA | MD | Pediatric Rehabilitation Medicine Physician |
| T8264 | TX | MD | Pediatric Rehabilitation Medicine Physician |
| BP10055696 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Seton Family of Doctors | Past | Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
4910 Mueller Blvd
Ste 300
Austin, TX 78723
Phone (512) 324-0907
Interoperability endpoints
- faheem.mahomed.1@8363.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658016000000",
"number": "1033573126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-567-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 TRINITY ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121765",
"telephone_number": "512-913-5011"
}
],
"practiceLocations": [
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-8145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4860 Y St Ste 3850",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172307",
"country_code": "US",
"telephone_number": "916-734-5292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHOMED",
"first_name": "FAHEEM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2022-07-17",
"certification_date": "2022-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CA",
"license": "A168524",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10055696",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "TX",
"license": "T8264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.