Individual provider Active NPI

Mohamad Elzaim, MD

  • Adult Medicine Physician
  • Richardson, TX
National Provider Identifier
1053940361
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
T8525 Issued in TX
Practice address
888 S Greenville Ave Ste 304
Richardson, TX 75081-5044
Phone
(469) 684-5450
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X T8525 TX Primary

Addresses

Primary practice location

888 S Greenville Ave Ste 304
Richardson, TX 75081-5044

Mailing address

1115 E Arkansas LN
Arlington, TX 76010-6415
Phone (817) 385-9799

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
I20231208000921 TX Practitioner - Family Practice 2961832167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T8525TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silat and Patel, PLLC CurrentSince Dec 4, 2023 Accepting new patients
Awesome Care PLLC Past Accepting new patients

Locations

1115 E Arkansas Ln
Ste B
Arlington, TX 76010
Phone (682) 304-0533

Interoperability endpoints

  • Direct secure messaging: mohamad.elzaim@hca7.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1053940361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E ARKANSAS LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106415",
            "telephone_number": "817-385-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S GREENVILLE AVE STE 304",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815044",
            "telephone_number": "469-684-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZAIM",
        "first_name": "MOHAMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "T8525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.