Individual provider Active NPI

Sana Fatima Muntajibuddin, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1184901092
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q2471 Issued in TX
Practice address
5801 Oakbend TRL Ste 200
Fort Worth, TX 76132-3916
Phone
(817) 529-9100
NPI assigned
Nov 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q2471 TX Primary

Addresses

Primary practice location

5801 Oakbend TRL Ste 200
Fort Worth, TX 76132-3916

Mailing address

5801 Oakbend TRL Ste 200
Fort Worth, TX 76132-3916
Phone (817) 529-9100

Other practice location 1

7601 Glenview Dr
Richland Hills, TX 76180-8331
Phone (817) 274-2578

Other practice location 2

7601 Glenview Dr
Richland Hills, TX 76180-8331
Phone (817) 284-2578

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
I20151221000943 TX Practitioner - Family Practice 0345541108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

5801 Oakbend TRL
Suite 200
Fort Worth, TX 76132-3916
Phone (817) 529-9100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Catalyst Physician Group - NTX, PLLC Family Medicine CurrentSince Apr 6, 2024 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince May 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2024 Accepting new patients

Locations

1105 Central Expy N
Ste 2120
Allen, TX 75013
Phone (972) 727-9877

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

5801 Oakbend Trl
Ste 200
Ft Worth, TX 76132
Phone (817) 294-9000

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

7601 Glenview Dr
Richland Hills, TX 76180
Phone (817) 274-2578

Interoperability endpoints

  • Direct secure messaging: smuntajibuddin750248@direct.texashealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1184901092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323916",
            "telephone_number": "817-529-9100",
            "fax_number": "817-529-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323916",
            "telephone_number": "817-529-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 Glenview Dr",
            "address_purpose": "LOCATION",
            "city": "Richland Hills",
            "state": "TX",
            "postal_code": "761808331",
            "country_code": "US",
            "telephone_number": "817-274-2578",
            "fax_number": "817-284-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Glenview Dr",
            "address_purpose": "LOCATION",
            "city": "Richland Hills",
            "state": "TX",
            "postal_code": "761808331",
            "country_code": "US",
            "telephone_number": "817-284-2578",
            "fax_number": "817-281-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNTAJIBUDDIN",
        "first_name": "SANA",
        "middle_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.