Shabnam K Qasim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K9397 Issued in TX

Practice address

4819 Riveroaks Blvd
Fort Worth, TX 76114-4709

Phone

(817) 626-9744

Fax

(817) 626-9962

NPI assigned

Jul 8, 2006

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJAGBD/Endpoint/JJAGBD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1043243512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 RIVEROAKS BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761144709",
            "telephone_number": "817-626-9744",
            "fax_number": "817-626-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 RIVEROAKS BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761144709",
            "telephone_number": "817-626-9744",
            "fax_number": "817-626-9962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-927-3431",
            "fax_number": "817-626-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QASIM",
        "first_name": "SHABNAM",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1634057",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen L. Putthoff, D.O.
• Krista M Putty, MD
• Emily Pybus, PT, DPT
• Kristen Pyrc, M.D.
• Pyxis Investment Group, LLC (PyxisCare Management)
• Mehboob S Qassam, M.D.
• QF Enterprises Inc (Right at Home Inc)
• Qian Amy Qian Dental PLLC
• Junqiu Qian, NP-C
• Qian Amy Qian, DDS

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.

Verify at the official NPI Registry.