Individual provider Active NPI

Ahmed Yousry Moussa, MD

  • Neurological Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1144894015
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
V9070 Issued in TX
Practice address
923 College Ave Ste 101
Fort Worth, TX 76104-3051
Phone
(817) 697-4038
Fax
(877) 409-3962
NPI assigned
May 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Neurological Surgery Physician 207T00000X V9070 TX Primary

Addresses

Primary practice location

923 College Ave Ste 101
Fort Worth, TX 76104-3051

Mailing address

1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-6639

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 456-6639

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
I20250708004716 TX Practitioner - Neurosurgery 6800300237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Orthopedic and Spine Associates PLLCGroup PAC ID 4183018757, 6 clinicians

Practice addresses (Care Compare)

923 College Ave
Suite 101
Fort Worth, TX 76104-3051
Phone (817) 697-4038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V9070TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Orthopedic and Spine Associates PLLC Neurological Surgery CurrentSince Jun 10, 2025 Accepting new patients

Locations

3450 W Wheatland Rd
Ste 330
Dallas, TX 75237
Phone (413) 461-5025

7901 John W Carpenter Fwy
Dallas, TX 75247
Phone (214) 980-9400

923 College Ave
Ste 101
Fort Worth, TX 76104
Phone (817) 697-4038

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.

NPI Registry JSON

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1144894015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "214-456-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 COLLEGE AVE STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043051",
            "telephone_number": "817-697-4038",
            "fax_number": "877-409-3962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-456-6639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "AHMED",
        "middle_name": "YOUSRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-16",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "V9070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.