Individual provider Active NPI

Mamaram Ceesay, MD

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1255893384
Registry record updated Apr 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
BP10066806 Issued in TX
Practice address
1301 W 38TH St Ste 705
Austin, TX 78705-1016
Phone
(512) 324-7036
NPI assigned
Apr 6, 2019
Last updated
Apr 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP10066806 TX Primary

Addresses

Primary practice location

1301 W 38TH St Ste 705
Austin, TX 78705-1016

Mailing address

1301 W 38TH St Ste 705
Austin, TX 78705-1016
Phone (512) 324-7036

Other identifiers 1

IdentifierTypeStateIssuer
BP10066806OtherTXPHYSICIAN-IN-TRAINING

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
I20230718003226 TX Practitioner - Obstetrics/Gynecology 4688034960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Wisconsin, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macarthur Medical Center PLLCGroup PAC ID 8426102625, 26 clinicians

Practice addresses (Care Compare)

3501 N Macarthur Blvd
Suite 500
Irving, TX 75062-3675
Phone (972) 256-3700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10066806TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince Oct 20, 2019 Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Women's Integrated Healthcare, P.a. Obstetrics & Gynecology Current Accepting new patients
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Past Accepting new patients
Cristina V. Valdez, MD PA Past Accepting new patients
Baylor Medical Center at Irving Past Accepting new patients

Locations

2101 Westpark Ct
Ste 200
Euless, TX 76040

3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229

3095 Kingswood Blvd
Ste 250
Grand Prairie, TX 75052
Phone 2143582300 ext. 6225

3501 N MacArthur Blvd
Ste 365
Irving, TX 75062

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

3501 N MacArthur Blvd
Ste 500
Irving, TX 75062
Phone (972) 786-0330

3501 N MacArthur Blvd
Ste 600
Irving, TX 75062
Phone (214) 648-6250

7200 State Highway 161
Ste 130
Irving, TX 75039
Phone (214) 838-2323

245 W State Highway 114
Ste 330
Southlake, TX 76092
Phone (817) 416-2229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554508800000",
    "number": "1255893384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 705",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051016",
            "telephone_number": "512-324-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 705",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051016",
            "telephone_number": "512-324-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEESAY",
        "first_name": "MAMARAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2019-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10066806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN-IN-TRAINING",
            "identifier": "BP10066806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.