Individual provider Active NPI

Mohamed Faheid

  • Family Medicine Physician
  • Allen, TX
National Provider Identifier
1104449990
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10071307 Issued in TX
Practice address
940 W Stacy Rd Ste 110
Allen, TX 75013-5215
Phone
(214) 547-0700
Fax
(972) 992-2428
NPI assigned
May 27, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLC 189 clinicians
Concord Medical Group of Texas PLLC 319 clinicians

Practice addresses (Care Compare)

200 W Ollie St
Llano, TX 78643-2628
Phone (325) 247-5040

Hospital & facility affiliations

  • Mid Coast Medical Center - Central Hospital, Llano, TX, CCN 451396

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
I20231012001435 TX Practitioner - Family Practice 4284055963 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heal 360 Urgent Care, LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Concord Medical Group PLLC CurrentSince Jan 21, 2025 Accepting new patients
Urgent Care 360 PLLC CurrentSince Apr 10, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 1, 2024 Accepting new patients
Primecaretx PLLC CurrentSince Dec 30, 2023 Accepting new patients
Heal 360 Primary Care PLLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Utmb Faculty Group Practice PastSince Jul 1, 2020 Accepting new patients

Locations

940 W Stacy Rd
Ste 110
Allen, TX 75013
Phone (214) 547-0700

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

9229 Lebanon Rd
Frisco, TX 75035
Phone (469) 300-0929

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

1360 Star Ct
Ste T1
Plano, TX 75074
Phone (972) 200-7402

4013 14th St
Ste 401
Plano, TX 75074
Phone (469) 814-9523

2806 W FM 544
Wylie, TX 75098

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10071307 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

940 W Stacy Rd Ste 110
Allen, TX 75013-5215

Mailing address

301 University Blvd
Galveston, TX 77555-1120
Phone (409) 772-2166

Other practice location 1

1209 Barrister Cir
Murphy, TX 75094-4106
Phone (214) 799-6716

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2024.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1104449990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551120",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W STACY RD STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135215",
            "telephone_number": "214-547-0700",
            "fax_number": "972-992-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Barrister Cir",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750944106",
            "country_code": "US",
            "telephone_number": "214-799-6716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHEID",
        "first_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10071307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.