Individual provider Active NPI

Kathy Mohammadi, PA

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1154063816
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15525 Issued in TX
Practice address
9191 Kyser Way Ste 205
Frisco, TX 75033-2783
Phone
(972) 643-8727
NPI assigned
Apr 12, 2022
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15525 TX Primary

Addresses

Primary practice location

9191 Kyser Way Ste 205
Frisco, TX 75033-2783

Mailing address

8080 TX 121 Suite 300
McKinney, TX 75070
Phone (972) 268-9383

Other practice location 1

8080 TX-121
McKinney, TX 75070
Phone (972) 268-9383

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220429000722 TX Practitioner - Physician Assistant 7012278922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3028 Communications Pkwy
Suite 300
Plano, TX 75093-8908

3028 Communications Pkwy
Suite 300
Plano, TX 75093-8914

5961 Sawgradd CT
Plano, TX 75093-4348

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15525TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

8080 State Highway 121
Ste 300
McKinney, TX 75070
Phone (972) 268-9383

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kathy.mohammadi@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1154063816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 TX 121 SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-268-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 KYSER WAY STE 205",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332783",
            "telephone_number": "972-643-8727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8080 TX-121",
            "address_purpose": "LOCATION",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "country_code": "US",
            "telephone_number": "972-268-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMADI",
        "first_name": "KATHY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "15525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.