NPIMap

Individual provider Active NPI

Jiaul Ahsan, MD

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1114956877
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9208 Issued in TX
Practice address
400 W Arbrook Blvd Ste 101
Arlington, TX 76014-3107
Phone
(817) 801-1456
Fax
(817) 801-0594
NPI assigned
Jul 2, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K9208 TX Primary

Addresses

Primary practice location

400 W Arbrook Blvd Ste 101
Arlington, TX 76014-3107

Mailing address

400 W Arbrook Blvd Ste 101
Arlington, TX 76014-3107
Phone (817) 801-1456

Other identifiers 2

IdentifierTypeStateIssuer
155065901MedicaidTX
155065902MedicaidTX

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
I20091229000243 TX Practitioner - Internal Medicine 3274673082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CSH Corp.Group PAC ID 5395234199, 15 clinicians

Practice addresses (Care Compare)

Dallas, TX 75238
Phone (972) 798-8001

912 Wright St
Suite E
Arlington, TX 76012-4759

912 Wright St E
Arlington, TX 76012-4759
Phone (817) 861-6464

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9208TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jiaul Ahsan PLLC Internal Medicine CurrentSince Jun 16, 2014 Accepting new patients
CSH Corp. CurrentSince Oct 2, 2025 Accepting new patients
Cornerstone Wound LLC Internal Medicine PastSince Feb 11, 2024 Accepting new patients
Muddamalle J Augustine MD PA Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients
Goto Lab Express Texas LLC Past Accepting new patients
Lifevantage House Calls PLLC Past Accepting new patients

Locations

912 Wright St
Ste E
Arlington, TX 76012
Phone (817) 592-3321

10935 Estate Ln
#S427
Dallas, TX 75238
Phone (817) 350-7040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1114956877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143107",
            "telephone_number": "817-801-1456",
            "fax_number": "817-801-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143107",
            "telephone_number": "817-801-1456",
            "fax_number": "817-801-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHSAN",
        "first_name": "JIAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155065901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155065902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.