Individual provider Active NPI

Syed Mohammed Fateh Hyder, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1225362585
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3639 Issued in TX
Practice address
9550 Forest LN Ste 606
Dallas, TX 75243-6176
Phone
(469) 804-7929
Fax
(469) 804-7930
NPI assigned
Sep 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X N3639 TX
Family Medicine Physician 207Q00000X N3639 TX Primary

Addresses

Primary practice location

9550 Forest LN Ste 606
Dallas, TX 75243-6176

Mailing address

9550 Forest LN Ste 606
Dallas, TX 75243-6176
Phone (469) 804-7929

Other practice location 1

3150 Horton Rd
Forest Hill, TX 76119-5905
Phone (817) 413-3401

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
I20101108000766 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 7810182516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forest Clinica Familiar LLCGroup PAC ID 0648402438, 2 clinicians

Practice addresses (Care Compare)

9550 Forest LN
Dallas, TX 75243-6176
Phone (469) 804-7929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3639TXMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Clinica Familiar, LLC Family Medicine CurrentSince Aug 14, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2018 Accepting new patients
Vpa of Texas PLLC Family Medicine Current Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients

Locations

9550 Forest Ln
Ste 606
Dallas, TX 75243
Phone (469) 804-7929

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225362585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436176",
            "telephone_number": "469-804-7929",
            "fax_number": "469-804-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436176",
            "telephone_number": "469-804-7929",
            "fax_number": "469-804-7930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Horton Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Hill",
            "state": "TX",
            "postal_code": "761195905",
            "country_code": "US",
            "telephone_number": "817-413-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATEH HYDER",
        "first_name": "SYED",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "N3639",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.