Active NPI
Ammar Al-Laham, MD
- Nephrology Physician
- Arlington, TX
National Provider Identifier
1285829440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- R0827
- Practice address
- 4907 S Collins St Ste 101
Arlington, TX 76018-1157 - Phone
- (817) 375-0610
- Fax
- (817) 375-0640
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | R0827 | TX | Primary |
Addresses
Primary practice location
4907 S Collins St Ste 101
Arlington, TX 76018-1157
Mailing address
3801 William D Tate Ave Ste 105
Grapevine, TX 76051-8755
Phone (817) 488-6812
Other practice location 1
7250 Hawkins View Dr Ste 410
Fort Worth, TX 76132-3932
Phone (817) 294-0280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374082101 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170712003844 | TX | Practitioner - Nephrology | 2466546114 |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3801 William D Tate Ave
Suite 105
Grapevine, TX 76051-8755
Hospital & facility affiliations
- DaVita Central Fort Worth Dialysis
- DaVita Mansfield Dialysis Center
- DaVita Hulen Dialysis
- Methodist Mansfield Medical Center
- Medical City Arlington
- Texas Health Arlington Memorial Hospital
- Texas Health Hospital Mansfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0827 | TX | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NTKC-DFW, PLLC | Nephrology | Current | Accepting new patients |
Locations
4907 S Collins St
Ste 101
Arlington, TX 76018
Phone (817) 375-0610
3801 William D Tate Ave
Ste 105
Grapevine, TX 76051
Phone (817) 488-6812
Organizations & group practices 1
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.
-
- Nephrology Physician
- Arlington, TX
- NPI 1598090854
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Worth, TX
- NPI 1699041152
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Worth, TX
- NPI 1659771624
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mansfield, TX
- NPI 1407874365
Dialysis facility
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1134172406
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1356960132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1285829440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 105",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518755",
"telephone_number": "817-488-6812",
"fax_number": "817-251-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4907 S COLLINS ST STE 101",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760181157",
"telephone_number": "817-375-0610",
"fax_number": "817-375-0640"
}
],
"practiceLocations": [
{
"address_1": "7250 Hawkins View Dr Ste 410",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761323932",
"country_code": "US",
"telephone_number": "817-294-0280",
"fax_number": "817-294-2084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-LAHAM",
"first_name": "AMMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "R0827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374082101",
"state": "TX"
}
],
"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 Jul 8, 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.