Active NPI
Mahmuda Nusrat Farha Ahmed, D.O
- Emergency Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R9563
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 704-3431
- NPI assigned
- Apr 4, 2016
- Last updated
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10055954 | TX | |
| Emergency Medicine Physician | 207P00000X | R9563 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 704-3431
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11801 S Fwy
Burleson, TX 76028-7021
Phone (817) 293-9110
1405 W Jefferson St
Baylor Medical Center Waxahachie
Waxahachie, TX 75165-2231
Phone (469) 843-4000
2955 Eldorado Pkwy
Suite 100
Frisco, TX 75033-7202
Phone (682) 707-9707
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.43 of 100
- Quality
- 93.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9563 | TX | MD | Emergency Medicine Physician |
| BP10055954 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Dorado Urgent Care, PLLC | Current | Accepting new patients | |
| Huguley Emergency Physicians, LLP | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Woodbridge Physicians Staffing Group, PLLC | Current | Accepting new patients |
Locations
11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738
3500 Gaston Ave
Dallas, TX 75246
1327 FM 741
Forney, TX 75126
Phone (214) 778-1466
2955 Eldorado Pkwy
Ste 100
Frisco, TX 75033
Phone (214) 407-8668
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Urgent Care Clinic/Center
- Frisco, TX
- NPI 1154799328
-
- Emergency Medical Services (Emergency Medicine) Physician
- Fort Worth, TX
- NPI 1346265071
-
- Emergency Care Clinic/Center
- Frisco, TX
- NPI 1750777322
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Waxahachie
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
dba Texas Health Huguley Hospital Fort Worth South
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1518355759
-
dba Texas Health Huguley Hospital Fort Worth South
- General Acute Care Hospital
- Burleson, TX
- NPI 1033120423
-
dba Huguley Memorial Medical Center
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1548273881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1235592585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-704-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-704-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MAHMUDA",
"middle_name": "NUSRAT FARHA",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10055954",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R9563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.