Individual provider Active NPI

Kausar Javed

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1043289937
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1794 Issued in TX
Practice address
1300 W Terrell Ave FL 2
Fort Worth, TX 76104-2820
Phone
(817) 820-4906
Fax
(817) 820-4815
NPI assigned
Mar 14, 2006
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1794 TX Primary

Addresses

Primary practice location

1300 W Terrell Ave FL 2
Fort Worth, TX 76104-2820

Mailing address

1300 W Terrell Ave FL 2
Fort Worth, TX 76104-2820
Phone (817) 820-4906

Other identifiers 1

IdentifierTypeStateIssuer
177466302MedicaidTX

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
I20051215000839 TX Practitioner - Internal Medicine 2668493784 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Elpis Healthcare, PLLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients

Locations

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

601 Westpark Way
Euless, TX 76040
Phone (817) 283-5166

4116 W Spring Creek Pkwy
#U
Plano, TX 75024
Phone (469) 983-5000

4116 W Spring Creek Pkwy
Unit 400C
Plano, TX 75024
Phone (469) 983-5000

Organizations & group practices 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1043289937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE FL 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042820",
            "telephone_number": "817-820-4906",
            "fax_number": "817-820-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE FL 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042820",
            "telephone_number": "817-820-4906",
            "fax_number": "817-820-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "KAUSAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177466302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.