Active NPI
Saadeddine S Saad, MD
- Dermatology Physician
- Fort Worth, TX
National Provider Identifier
1114421419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- S9398
- Practice address
- 4312 Heritage Trace Pkwy Ste 708
Fort Worth, TX 76244-9129 - Phone
- (817) 409-7996
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | S9398 | TX | Primary |
Addresses
Primary practice location
4312 Heritage Trace Pkwy Ste 708
Fort Worth, TX 76244-9129
Mailing address
4312 Heritage Trace Pkwy Ste 708
Fort Worth, TX 76244-9129
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Texas a & M University System, HSC, College of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4312 Heritage Trace Pkwy
Suite 708
Fort Worth, TX 76244-9129
Phone (817) 409-7996
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 144 |
| Removal of skin cancer | 46 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Dermatology PLLC | Dermatology | Current | Accepting new patients |
Locations
4312 Heritage Trace Pkwy
Ste 708
Fort Worth, TX 76244
Phone (817) 380-4167
Interoperability endpoints
- ssaad@monarchderm.emadirect.md
Organizations & group practices 1
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.
-
- Dermatology Physician
- Fort Worth, TX
- NPI 1396500989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1114421419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4312 HERITAGE TRACE PKWY STE 708",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4312 HERITAGE TRACE PKWY STE 708",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449129",
"telephone_number": "817-409-7996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAD",
"first_name": "SAADEDDINE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "S9398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.