Individual provider Active NPI

Aisha Amjad, M.D

  • Hospitalist Physician
  • Farmers Branch, TX
National Provider Identifier
1164739157
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
P5924 Issued in TX
Practice address
12247 Ridgefair PL
Farmers Branch, TX 75234-7805
Phone
(682) 622-2000
NPI assigned
Sep 12, 2010
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X P5924 TX Primary

Addresses

Primary practice location

12247 Ridgefair PL
Farmers Branch, TX 75234-7805

Mailing address

12247 Ridgefair PL
Farmers Branch, TX 75234-7805

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
I20130619000508 TX Practitioner - Internal Medicine 8820237027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lonestar Hospital Medicine Associates PAGroup PAC ID 6709049703, 126 clinicians

Practice addresses (Care Compare)

11424 Richmond Ave
Houston, TX 77082-2519
Phone (281) 759-7900

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5924TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA Hospitalist CurrentSince Jun 1, 2013 Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients

Locations

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

Organizations & group practices 2

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": "1284249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1164739157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12247 RIDGEFAIR PL",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 RIDGEFAIR PL",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347805",
            "telephone_number": "682-622-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJAD",
        "first_name": "AISHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-12",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P5924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.