Magdala Poon, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

Q0539 Issued in TX

Practice address

2800 E Broad St
Suite 504
Mansfield, TX 76063-6409

Phone

(817) 225-0410

Fax

(817) 453-8866

NPI assigned

Jun 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Neurology

Education

Baylor College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tarrant Neurology Consultants, P.a.Group PAC ID 3072709369, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
• Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
• Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419

Merit-based Incentive Payment System (MIPS)

Final score

85.35 of 100Reported as group

Quality

67.91

Improvement activities

40

Cost

80.75

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJJIAA
• Direct secure messaging: magdala.poon@tnc.eclinicaldirectplus.com

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.

• Tarrant Neurology Consultants, P.a.

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1740509843
  Medicare reassignment Care Compare group NPD
• Vinit Mehrotra, MD, PA

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1861504136
  NPD (past)

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

• Baylor All Saints Medical Center

  dba Baylor Scott & White All Saints Medical Center - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1669472387
  Care Compare affiliation
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  dba Medical City Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Azle

  • General Acute Care Hospital
  • Azle, TX
  • NPI 1508899204
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1144541202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST",
            "address_2": "SUITE 504",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636409",
            "telephone_number": "817-225-0410",
            "fax_number": "817-453-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST",
            "address_2": "SUITE 504",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636409",
            "telephone_number": "817-225-0410",
            "fax_number": "817-453-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POON",
        "first_name": "MAGDALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10037312",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q0539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanisha Polk
• Kendall Polk, CSFA
• Jill Ann Pollard, LCSW
• Michael Clark Polson, D.C.
• Emanuel Ponce
• Iman Popal
• Posh Plastic and Reconstructive Surgery PLLC
• Lonetta L Postell, M.D.
• Jacqueline Prado
• Shawn Meckiel Prapta, O.D.

• Neurology Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.