Active NPI
Fatema S Uddin MD, PLLC
- Gastroenterology Physician
- Arlington, TX
National Provider Identifier
1205393279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- FATEMA S UDDIN MD, PLLC
- Practice address
- 601 Omega Dr Ste 201
Arlington, TX 76014-2075 - Phone
- (214) 244-2334
- NPI assigned
- Feb 26, 2019
- Last updated
- Mar 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatema S Uddin, MD
- Title
- Owner
- Phone
- (214) 244-2334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
601 Omega Dr Ste 201
Arlington, TX 76014-2075
Mailing address
6676 Shady Glen Cir
Benbrook, TX 76132-2798
Phone (214) 244-2334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
601 Omega Dr
Ste 201
Arlington, TX 76014
Phone (817) 467-4488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Fort Worth, TX
- NPI 1144430893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1205393279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6676 SHADY GLEN CIR",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761322798",
"telephone_number": "214-244-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 OMEGA DR STE 201",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760142075",
"telephone_number": "214-244-2334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FATEMA S UDDIN MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-26",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "UDDIN",
"authorized_official_first_name": "FATEMA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-244-2334",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.