Fatema S Uddin, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

N2326 Issued in TX

Practice address

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Phone

(817) 250-4906

Fax

(817) 250-1815

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, SD, TN3 enrollments

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 3

Specialty

GastroenterologyAlso: Internal Medicine

Education

University of Texas Southwestern Medical School at Dallas, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
• Usmd Hospital at Arlington L P Hospital, Arlington, TX, CCN 450872
• Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACGICD/Endpoint/ACGICD
• FHIR API: https://fhir4.healow.com/fhir/r4/CFAHAA
• Direct secure messaging: fatema.uddin@avera.sdhealthlink.net
• Direct secure messaging: fuddin834544@ahs.direct-ci.com

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.

• Fatema S Uddin MD, PLLC

  • Gastroenterology Physician
  • Arlington, TX
  • NPI 1205393279
  Medicare reassignment NPD Authorized official
• Gastroenterology Practice Associates, PLLC

  • Gastroenterology Physician
  • Arlington, TX
  • NPI 1821224825
  Medicare reassignment NPD
• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• University Health System, Inc

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1790738763
  Medicare reassignment NPD
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Pulmonary Disease Physician
  • Sioux Falls, SD
  • NPI 1386610004
  NPD
• University Health System Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
  • NPI 1306609748
  NPD
• University Health System, Inc

  • Gastroenterology Physician
  • Knoxville, TN
  • NPI 1710180864
  NPD
• Navin T Parekh MD PA

  • Specialist
  • Arlington, TX
  • NPI 1710253570
  NPD (past)

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

• Texas Health Hospital Mansfield

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1356960132
  Care Compare affiliation
• Texas Health Huguley, Inc

  • Psychiatric Hospital Unit
  • Burleson, TX
  • NPI 1518355759
  Care Compare affiliation
• Texas Health Huguley, Inc.

  • General Acute Care Hospital
  • Burleson, TX
  • NPI 1033120423
  Care Compare affiliation
• Texas Health Huguley, Inc.

  • Psychiatric Hospital Unit
  • Burleson, TX
  • NPI 1548273881
  Care Compare affiliation
• Usmd Hospital at Arlington, LLC

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1659352987
  Care Compare affiliation

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1144430893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "817-250-4906",
            "fax_number": "817-250-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "817-250-4906",
            "fax_number": "817-250-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "FATEMA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8GF861",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0026170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• U S Anesthesia Partners of Texas
• U S Anesthesia Partners of Texas, PA
• U S Anesthesia Partners of Texas, PA
• U.S. Pharmacy, Inc. Store#2
• Azeza Uddin, M.D.
• Mohd Rakib Uddin, MD
• Tochukwu Toby Udegbune, AGPCNP-BC, PMHNP-BC
• Kosisochi William Udozorh, LMFT-ASSOCIATE
• John Kenneth Uffman, MD, MPH
• Obiageli E Ufondu

• Gastroenterology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.

Verify at the official NPI Registry.