Yasmin Sadat Fatemi

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

U2482 Issued in TX

Practice address

817 W Tucker St
Fort Worth, TX 76104-2236

Phone

(469) 444-7246

Fax

(469) 440-2667

NPI assigned

Apr 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Pain ManagementAlso: Anesthesiology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iconiq Spine and Orthopaedic Center, PLLCGroup PAC ID 3476902719, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yfatemi326945@direct.phhs.org

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.

• Iconiq Spine & Orthopaedic Center PLLC

  • Interventional Pain Medicine Physician
  • Irving, TX
  • NPI 1578279238
  Medicare reassignment Care Compare group NPD
• Iconiq Spine & Orthopaedic Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1982440426
  NPD

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1043874787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W TUCKER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W TUCKER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042236",
            "telephone_number": "469-444-7246",
            "fax_number": "469-440-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATEMI",
        "first_name": "YASMIN",
        "middle_name": "SADAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "U2482",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "U2482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel E Farris Sr., LPC
• Daniel Lee Farris, ATP
• Farrukh L Bhatti MD PA
• Esther Fasanmi, PHARM.D.
• Christine Danielle Fata, OTR/L
• Ahmed Samy Fati
• Asma Fatima, M.D.
• Rami Fattul
• Catherine Faubel
• Kimberly Faught, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.