NPIMap

Individual provider Active NPI

Suhail Sharif, MD

  • Surgical Oncology Physician
  • Fort Worth, TX
National Provider Identifier
1083753677
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
N3303 Issued in TX
Practice address
909 9TH Ave
Suite 208
Fort Worth, TX 76104-3903
Phone
(817) 332-0786
Fax
(817) 332-0787
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X N3303 TX Primary
Surgical Oncology Physician 2086X0206X 036-113647 IL

Addresses

Primary practice location

909 9TH Ave
Suite 208
Fort Worth, TX 76104-3903

Mailing address

909 9TH Ave
Suite 208
Fort Worth, TX 76104-3903
Phone (817) 332-0786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000523 TX Practitioner - Surgical OncologyPractitioner - General Surgery 6305997230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharif Surgical PLLCGroup PAC ID 0941346910, 2 clinicians

Practice addresses (Care Compare)

909 9TH Ave
Suite 401
Fort Worth, TX 76104-3918
Phone (817) 332-0786

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux19
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-113647ILMDSurgical Oncology Physician
N3303TXMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Advanced Surgical Care PLLC Current Accepting new patients
Sharif Surgical PLLC Surgical Oncology CurrentSince Aug 1, 2009 Accepting new patients

Locations

909 9th Ave
Ste 205
Fort Worth, TX 76104
Phone (817) 332-0786

909 9th Ave
Ste 208
Ft Worth, TX 76104
Phone (817) 332-0786

909 9th Ave
Ste 401
Ft Worth, TX 76104
Phone (817) 332-0786

Interoperability endpoints

  • Direct secure messaging: ssharif@direct.uspi.com
  • Direct secure messaging: ssharif460879@direct.sw.org

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1083753677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-332-0786",
            "fax_number": "817-332-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-332-0786",
            "fax_number": "817-332-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIF",
        "first_name": "SUHAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "N3303",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IL",
            "license": "036-113647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.